Provider Demographics
NPI:1326266099
Name:A ROBAINA MD PA
Entity Type:Organization
Organization Name:A ROBAINA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AL
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROBAINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-751-3570
Mailing Address - Street 1:5998 N US HIGHWAY 41 STE A
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-3133
Mailing Address - Country:US
Mailing Address - Phone:813-751-3570
Mailing Address - Fax:813-641-9001
Practice Address - Street 1:5998 N US HIGHWAY 41 STE A
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-3133
Practice Address - Country:US
Practice Address - Phone:813-751-3570
Practice Address - Fax:813-641-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0067245207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00673200Medicaid
FLAG662Medicare PIN