Provider Demographics
NPI:1144602889
Name:NELSON, ROBBIN
Entity Type:Individual
Prefix:
First Name:ROBBIN
Middle Name:
Last Name:NELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 DREXEL RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4784
Mailing Address - Country:US
Mailing Address - Phone:407-453-2071
Mailing Address - Fax:
Practice Address - Street 1:430 DREXEL RIDGE CIR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4784
Practice Address - Country:US
Practice Address - Phone:407-453-2071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management