Provider Demographics
NPI:1619342805
Name:ROBIN CHIROPRACTIC CENTER INC
Entity Type:Organization
Organization Name:ROBIN CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROBINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-523-5336
Mailing Address - Street 1:2211 N DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-2235
Mailing Address - Country:US
Mailing Address - Phone:954-523-5336
Mailing Address - Fax:954-523-5338
Practice Address - Street 1:2211 N DIXIE HWY
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305
Practice Address - Country:US
Practice Address - Phone:954-523-5336
Practice Address - Fax:954-523-5338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 6807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty