Provider Demographics
NPI:1679884159
Name:LAFLEUR, ROBIN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:
Last Name:LAFLEUR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:DONADIO-FRICK, DONADIO-DURDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PRIOR MARRIAGES (2)
Mailing Address - Street 1:6520 FORT CAROLINE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-2044
Mailing Address - Country:US
Mailing Address - Phone:904-745-3618
Mailing Address - Fax:904-722-4271
Practice Address - Street 1:1215 DUNN AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-6330
Practice Address - Country:US
Practice Address - Phone:904-744-7300
Practice Address - Fax:904-722-4271
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9172478363L00000X
FLARNP9172478363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002342800Medicaid