Provider Demographics
NPI:1649395047
Name:MONCRIEF, ROBYN MAYKO (MD)
Entity type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:MAYKO
Last Name:MONCRIEF
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:670 GLADES RD
Mailing Address - Street 2:SUITE #300
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6461
Mailing Address - Country:US
Mailing Address - Phone:561-395-2626
Mailing Address - Fax:561-395-7026
Practice Address - Street 1:690 MEADOWS ROAD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-955-2131
Practice Address - Fax:561-955-3755
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2015-11-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 104583208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCF102ZOtherMEDICARE PTAN