Provider Demographics
NPI:1275866501
Name:HAUSSMANN, ROBIN D (PA-C)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:D
Last Name:HAUSSMANN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 FRONT BEACH RD
Mailing Address - Street 2:#5313
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-4277
Mailing Address - Country:US
Mailing Address - Phone:850-643-7195
Mailing Address - Fax:
Practice Address - Street 1:740 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-2524
Practice Address - Country:US
Practice Address - Phone:850-785-3232
Practice Address - Fax:850-747-8648
Is Sole Proprietor?:No
Enumeration Date:2009-09-18
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9105164363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical