Provider Demographics
NPI:1720698947
Name:REMONVILLE, ROBINSON (APRN)
Entity Type:Individual
Prefix:MR
First Name:ROBINSON
Middle Name:
Last Name:REMONVILLE
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:MR
Other - First Name:ROBINSON
Other - Middle Name:
Other - Last Name:REMONVILLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:6045 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5107
Mailing Address - Country:US
Mailing Address - Phone:305-896-8711
Mailing Address - Fax:
Practice Address - Street 1:6045 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-5107
Practice Address - Country:US
Practice Address - Phone:305-896-8711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11008300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily