Organization
ROBERT B MAGGIANO DO ABFP-C PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B MAGGIANO D.O. (PRESIDENT)
(239) 437-6800
Entity
Organization
Contact information
Practice address
6314 WHISKEY CREEK DR, STE A, FORT MYERS, FL 33919-8762
(239) 437-6800
(239) 437-6803
Mailing address
6314 WHISKEY CREEK DR, STE A, FORT MYERS, FL 33919-8762
(239) 437-6800
(239) 437-6803
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0S5431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063193100
—
FL
01
—
80336
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/15/2010
Last updated
06/10/2010
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