Individual
MRS. STEPHANIE M IBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3620
(586) 747-7536
Mailing address
1399 CLEARVIEW DR, PORT CHARLOTTE, FL 33953-2608
(586) 747-7536
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
FPF02000007
TX
Other
Enumeration date
03/24/2026
Last updated
03/30/2026
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