Provider Demographics
NPI:1194343665
Name:ROBINSON SAMUELS, CARLA ANNETTE (BS)
Entity type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:ANNETTE
Last Name:ROBINSON SAMUELS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7191 IVY CROSSING LN
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-9415
Mailing Address - Country:US
Mailing Address - Phone:561-788-3871
Mailing Address - Fax:
Practice Address - Street 1:5305 GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2451
Practice Address - Country:US
Practice Address - Phone:561-557-6651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty