Individual
JOSE F MANIBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6821 PALISADES PARK CT, SUITE 1, FORT MYERS, FL 33912-7131
(239) 936-8555
(239) 936-5611
Mailing address
6821 PALISADES PARK CT, SUITE 1, FORT MYERS, FL 33912-7131
(239) 936-8555
(239) 936-5611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME91490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160307001
CIGNA
—
05
—
270805100
—
FL
01
—
50098
RAILROAD MEDICARE
—
Enumeration date
08/31/2005
Last updated
08/29/2014
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