Provider Demographics
NPI:1073755260
Name:DR. RANSFORD ROBINSON LLC
Entity Type:Organization
Organization Name:DR. RANSFORD ROBINSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANSFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:863-816-5889
Mailing Address - Street 1:515 CHANNING RD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-3703
Mailing Address - Country:US
Mailing Address - Phone:863-816-5889
Mailing Address - Fax:863-937-8008
Practice Address - Street 1:515 CHANNING RD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-3703
Practice Address - Country:US
Practice Address - Phone:863-816-5889
Practice Address - Fax:863-937-8008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty