Blackman, Robin Nicole

Blackman, Robin Nicole is an individual health care provider with primary practice located at 208 Hospital Dr Ne , Fort Walton Beach FL 32548-5068. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Blackman, Robin Nicole can be contacted via phone (850) 243-8124.

Contact Information

Primary practice address
208 Hospital Dr Ne Fort Walton Beach FL 32548-5068
Phone: (850) 243-8124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 24314 Florida
Dental Providers / General Practice 1223G0001X 24314 Florida

Profile Details

NPI number 1427510312
LBN Legal business name Blackman, Robin Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2019
Last updated Jul 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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