Provider Demographics
NPI:1245433200
Name:SEMPLE, ROBIN GOODKIN (FNP)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:GOODKIN
Last Name:SEMPLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 DE SOTO DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6010
Mailing Address - Country:US
Mailing Address - Phone:305-884-8477
Mailing Address - Fax:
Practice Address - Street 1:111 NW 1ST ST STE 110
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33128-1902
Practice Address - Country:US
Practice Address - Phone:786-466-7200
Practice Address - Fax:306-372-1098
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1366912363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily