Individual
DR. MICHAEL TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4120 DEL PRADO BLVD S, CAPE CORAL, FL 33904-7165
(239) 542-2020
(239) 541-1492
Mailing address
P.O. BOX 101468, CAPE CORAL, FL 33910-1468
(239) 542-2020
(239) 541-1492
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME115062
FL
207W00000X
Ophthalmology Physician
Primary
ME115062
FL
Other
Enumeration date
06/26/2009
Last updated
08/07/2014
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