Provider Demographics
NPI:1477249092
Name:ROBINSON, DEREK EUGENE (LPN)
Entity Type:Individual
Prefix:MR
First Name:DEREK
Middle Name:EUGENE
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7327 BAGLEY COVE CT
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-0220
Mailing Address - Country:US
Mailing Address - Phone:813-526-6026
Mailing Address - Fax:
Practice Address - Street 1:7327 BAGLEY COVE CT
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-0220
Practice Address - Country:US
Practice Address - Phone:813-526-6026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver