Provider Demographics
NPI:1447244249
Name:MARKLEY, ROBYN MARJORIE (DC)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:MARJORIE
Last Name:MARKLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:MARJORIE
Other - Last Name:MARKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1802 W BAKER ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-2912
Mailing Address - Country:US
Mailing Address - Phone:813-752-6001
Mailing Address - Fax:813-754-3162
Practice Address - Street 1:1802 W BAKER ST
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563
Practice Address - Country:US
Practice Address - Phone:813-752-6001
Practice Address - Fax:813-754-3162
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8806111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU3410Medicare ID - Type Unspecified
V01390Medicare UPIN