Provider Demographics
NPI:1861504045
Name:ROBBINS, BROOKE (ARNP)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5911 N HONORE AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2606
Mailing Address - Country:US
Mailing Address - Phone:941-308-7546
Mailing Address - Fax:941-308-7550
Practice Address - Street 1:5911 N HONORE AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2606
Practice Address - Country:US
Practice Address - Phone:941-308-7546
Practice Address - Fax:941-308-7550
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3202632163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP3202632OtherMEDICAL LICENSE
FL48310OtherBCBS PROVIDER#
FL1376576454OtherGROUP NPI
FL00A58OtherGROUP BCBS ID
FL48310OtherBCBS PROVIDER#
FL00A58OtherGROUP BCBS ID
FLP78765Medicare UPIN
FLK6441Medicare PIN
FLE8982YMedicare PIN