Provider Demographics
NPI:1326216060
Name:STEPHEN M. ROBINS, MD, PA
Entity Type:Organization
Organization Name:STEPHEN M. ROBINS, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:ROBINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-736-3300
Mailing Address - Street 1:3717 W BOYNTON BEACH BLVD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-4540
Mailing Address - Country:US
Mailing Address - Phone:561-736-3300
Mailing Address - Fax:
Practice Address - Street 1:3717 W BOYNTON BEACH BLVD
Practice Address - Street 2:SUITE 7
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4540
Practice Address - Country:US
Practice Address - Phone:561-736-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL61305Medicare UPIN
FL0435000001Medicare NSC