Individual
DR. MARK A SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(239) 939-3456
(239) 939-1575
Mailing address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(239) 939-3456
(239) 939-1575
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
AS9252040
FL
207W00000X
Ophthalmology Physician
ME30852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039453000
—
FL
01
—
62253
BLUE CROSS
FL
Enumeration date
04/11/2006
Last updated
05/21/2019
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