Provider Demographics
NPI:1487806279
Name:ROBINSON, CHERYL RENETTE (MSPH, RD LDN CDE)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:RENETTE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MSPH, RD LDN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 WILLOWHEAD DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3543
Mailing Address - Country:US
Mailing Address - Phone:239-227-1739
Mailing Address - Fax:239-304-8939
Practice Address - Street 1:731 WILLOWHEAD DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3543
Practice Address - Country:US
Practice Address - Phone:239-227-1739
Practice Address - Fax:239-304-8939
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND3976133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered