Provider Demographics
NPI:1891984142
Name:ROBINSON, EVERS (SOLE PROP)
Entity type:Individual
Prefix:MR
First Name:EVERS
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:SOLE PROP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 HIGH GROVE WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-5685
Mailing Address - Country:US
Mailing Address - Phone:407-376-2232
Mailing Address - Fax:
Practice Address - Street 1:1521 HIGH GROVE WAY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-5685
Practice Address - Country:US
Practice Address - Phone:407-376-2232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical