Provider Demographics
NPI:1083029698
Name:ROBINSON, NORSHAE (DPM)
Entity Type:Individual
Prefix:DR
First Name:NORSHAE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4123 UNIVERSITY BLVD S STE F
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4320
Mailing Address - Country:US
Mailing Address - Phone:904-701-3140
Mailing Address - Fax:904-990-1504
Practice Address - Street 1:4123 UNIVERSITY BLVD S STE F
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4320
Practice Address - Country:US
Practice Address - Phone:904-701-3140
Practice Address - Fax:904-990-1504
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3889213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist