Provider Demographics
NPI:1194395343
Name:ROBBINS, KELLY TURMAN
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:TURMAN
Last Name:ROBBINS
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 1:3600 BREASTWORKS RD
Mailing Address - Street 2:
Mailing Address - City:MC DAVID
Mailing Address - State:FL
Mailing Address - Zip Code:32568-2259
Mailing Address - Country:US
Mailing Address - Phone:850-712-1223
Mailing Address - Fax:
Practice Address - Street 1:3964 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:JAY
Practice Address - State:FL
Practice Address - Zip Code:32565-1104
Practice Address - Country:US
Practice Address - Phone:850-675-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT15676225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist