Individual
DR. RODERICK NUBLA SEMBRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2780 CLEVELAND AVE FL 5, FORT MYERS, FL 33901-5858
(239) 343-2686
(239) 343-3144
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(393) 432-6862
(239) 343-3144
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
54764
MN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME106459
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121739800
—
FL
Enumeration date
08/21/2007
Last updated
06/17/2025
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