Robert B Maggiano DO Abfp-C PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0S5431 Issued in FL

Legal business name

ROBERT B MAGGIANO DO ABFP-C PA

Practice address

6314 Whiskey Creek Dr
Ste a
Fort Myers, FL 33919-8762

Phone

(239) 437-6800

Fax

(239) 437-6803

NPI assigned

Jan 15, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert B Maggiano, D.O.

Title

President

Phone

(239) 437-6800

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1659602589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 WHISKEY CREEK DR",
            "address_2": "STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198762",
            "telephone_number": "239-437-6800",
            "fax_number": "239-437-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 WHISKEY CREEK DR",
            "address_2": "STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198762",
            "telephone_number": "239-437-6800",
            "fax_number": "239-437-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B MAGGIANO DO ABFP-C PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "MAGGIANO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-437-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "0S5431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063193100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80336",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Robben, MD
• Amy Lynne Robbins, DC
• Bryan N. Robbins, MD
• Dylan Edward Robbins
• Helen Michele Robbins, PA-C
• Robert B Pritt DO PA
• Robert B. Silver, PH.D., P.a.
• Robert E Fischer DDS PA Inc
• Robert E Watkins Jr
• Robert E Watkins Jr DC Inc

• Primary Care Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.