Provider Demographics
NPI:1578177523
Name:ROBINSON FAMILY CLINIC INC
Entity Type:Organization
Organization Name:ROBINSON FAMILY CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AYESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-646-5088
Mailing Address - Street 1:4406 S FLORIDA AVE STE 30
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-2176
Mailing Address - Country:US
Mailing Address - Phone:863-646-5088
Mailing Address - Fax:863-904-4701
Practice Address - Street 1:4406 S FLORIDA AVE STE 30
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2176
Practice Address - Country:US
Practice Address - Phone:863-646-5088
Practice Address - Fax:863-904-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-06
Last Update Date:2020-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty