Provider Demographics
NPI:1639254139
Name:ROBINS, BRUCE EVAN (DC)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:EVAN
Last Name:ROBINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E BROWARD BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2022
Mailing Address - Country:US
Mailing Address - Phone:954-523-5336
Mailing Address - Fax:954-523-5338
Practice Address - Street 1:2211 N DIXIE HWY
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305
Practice Address - Country:US
Practice Address - Phone:954-523-5336
Practice Address - Fax:954-523-5338
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH00006807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor