Provider Demographics
NPI:1750442174
Name:ROBBINS, HAROLD THOMAS II (D C)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:THOMAS
Last Name:ROBBINS
Suffix:II
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2616 TAMIAMI TRL UNIT 2
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-6473
Mailing Address - Country:US
Mailing Address - Phone:941-743-5700
Mailing Address - Fax:941-743-8822
Practice Address - Street 1:2616 TAMIAMI TRL UNIT 2
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-6473
Practice Address - Country:US
Practice Address - Phone:941-743-5700
Practice Address - Fax:941-743-8822
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 5519111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22347Medicare ID - Type Unspecified
FLT87781Medicare UPIN