Provider Demographics
NPI:1346306669
Name:ROBINSON, RICHARD J (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 BELL SHOALS RD
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-6199
Mailing Address - Country:US
Mailing Address - Phone:813-654-3921
Mailing Address - Fax:813-684-2758
Practice Address - Street 1:3601 BELL SHOALS RD
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-6199
Practice Address - Country:US
Practice Address - Phone:813-654-3921
Practice Address - Fax:813-684-2758
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00096458OtherMEDICARE RAILROAD
FL22138Medicare UPIN
FL22138Medicare ID - Type Unspecified