Provider Demographics
NPI:1730506049
Name:ROBINSON, INMACULADA (CDA)
Entity type:Individual
Prefix:
First Name:INMACULADA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4120 ORANGE TREE CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-1404
Mailing Address - Country:US
Mailing Address - Phone:407-791-7680
Mailing Address - Fax:
Practice Address - Street 1:4120 ORANGE TREE CT
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-1404
Practice Address - Country:US
Practice Address - Phone:407-791-7680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist