Manibo, Jose F
Manibo, Jose F is an individual health care provider with primary practice located at 6821 Palisades Park Ct Suite 1, Fort Myers FL 33912-7131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Manibo, Jose F can be contacted via phone (239) 936-8555.Contact Information
Primary practice address
6821 Palisades Park Ct Suite 1
Fort Myers FL 33912-7131
Phone: (239) 936-8555
Fax: (239) 936-5611
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME91490 | Florida |
Profile Details
NPI number | 1932193364 |
---|---|
LBN Legal business name | Manibo, Jose F |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2005 |
Last updated | Aug 29th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932193364 | NPPES |
Other | 2160307001 | CIGNA | |
Other | 50098 | CIGNA | |
Other | 50098 | CIGNA | |
MEDICAID | 270805100 | CIGNA |
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