| Robert B Maggiano Do Abfp-c Pa | |
|
6314 Whiskey Creek Dr Ste A Fort Myers FL 33919-8762 | |
| (239) 437-6800 | |
| (239) 437-6803 |
| Full Name | Robert B Maggiano Do Abfp-c Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6314 Whiskey Creek Dr, Fort Myers, Florida |
| Authorized Official Name and Position | Robert B Maggiano (PRESIDENT) |
| Authorized Official Contact | 2394376800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert B Maggiano Do Abfp-c Pa 6314 Whiskey Creek Dr Ste A Fort Myers FL 33919-8762 Ph: (239) 437-6800 | Robert B Maggiano Do Abfp-c Pa 6314 Whiskey Creek Dr Ste A Fort Myers FL 33919-8762 Ph: (239) 437-6800 |
| NPI Number | 1659602589 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 06/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659602589 | NPI | - | NPPES |
| 063193100 | Medicaid | FL | |
| 80336 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0S5431 (Florida) | Primary |
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