Individual
DR. JONATHAN RYAN OBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 9TH ST N STE 308, NAPLES, FL 34102-5889
(239) 624-4650
Mailing address
PO BOX 8569, NAPLES, FL 34101-8569
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME128864
FL
208600000X
Surgery Physician
TRN20809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107285200
—
FL
01
—
QN9ZF
BCBS
FL
Enumeration date
06/04/2014
Last updated
08/17/2020
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