Provider Demographics
NPI:1245346121
Name:PAVCIK, ROBIN BELINDA (ARNP)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:BELINDA
Last Name:PAVCIK
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 1:1343 NW SPRUCE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-9519
Mailing Address - Country:US
Mailing Address - Phone:772-692-3124
Mailing Address - Fax:
Practice Address - Street 1:816 E OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2428
Practice Address - Country:US
Practice Address - Phone:772-286-5551
Practice Address - Fax:772-286-3026
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9188152363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAJ147ZMedicare PIN