Provider Demographics
NPI:1417167685
Name:RODEN, ROBIN LYNN (MD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:RODEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROBIN
Other - Middle Name:LYNN
Other - Last Name:RODEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:801 ANCHOR RODE DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-2751
Mailing Address - Country:US
Mailing Address - Phone:239-263-1717
Mailing Address - Fax:
Practice Address - Street 1:801 ANCHOR RODE DR
Practice Address - Street 2:SUITE # 100
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-2751
Practice Address - Country:US
Practice Address - Phone:239-263-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME41531207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology