Provider Demographics
NPI:1629447388
Name:DEVENIE ROBBINS ARNP LLC
Entity Type:Organization
Organization Name:DEVENIE ROBBINS ARNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEVENIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, NP-C
Authorized Official - Phone:813-297-6326
Mailing Address - Street 1:10052 ALAFIA PRESERVE AVE
Mailing Address - Street 2:201
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4623
Mailing Address - Country:US
Mailing Address - Phone:813-297-6326
Mailing Address - Fax:
Practice Address - Street 1:10052 ALAFIA PRESERVE AVE
Practice Address - Street 2:201
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4623
Practice Address - Country:US
Practice Address - Phone:813-297-6326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9321089363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty