Provider Demographics
NPI:1356421614
Name:GUIAB, ROBIN LEE (MD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:LEE
Last Name:GUIAB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROBIN
Other - Middle Name:LEE
Other - Last Name:JACOBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1329 SW 16TH ST RM 2232
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1128
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:700 DOCTORS CT
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-7314
Practice Address - Country:US
Practice Address - Phone:352-787-9838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0298207L00000X
AL00016245207L00000X
FLME125062207L00000X
CAG68021207L00000X
KY42097207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2956047Medicaid
KY7100089070Medicaid
TX149228201Medicaid
FL016805900Medicaid
WV3810013307Medicaid
FLIL516ZMedicare PIN
OH2956047Medicaid
FLIL516VMedicare PIN
FLIL516UMedicare PIN
TX149228201Medicaid
KY7100089070Medicaid
WV3810013307Medicaid
FLIL516TMedicare PIN