Provider Demographics
NPI:1760785349
Name:RHONDA ROBBINS, INC
Entity Type:Organization
Organization Name:RHONDA ROBBINS, INC
Other - Org Name:SEA OATS MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:850-769-8624
Mailing Address - Street 1:510 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4011
Mailing Address - Country:US
Mailing Address - Phone:850-796-8624
Mailing Address - Fax:850-796-7186
Practice Address - Street 1:510 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405
Practice Address - Country:US
Practice Address - Phone:850-796-8624
Practice Address - Fax:850-796-7186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2509592261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP2509592OtherFLORIDA MEDICAL LICENSE
FLARNP2509592OtherFLORIDA MEDICAL LICENSE