Organization Active NPI

Ricardo P Maribona DPM PA

  • Foot & Ankle Surgery Podiatrist
  • North Fort Myers, FL
National Provider Identifier
1841450327
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2055 Issued in FL
Legal business name
RICARDO P MARIBONA DPM PA
Practice address
13240 N Cleveland Ave Ste 3
North Fort Myers, FL 33903-4855
Phone
(239) 481-7000
Fax
(239) 481-8150
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Ricardo P Maribona, DPM
Title
Owner
Phone
(239) 481-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO2055 FL Primary

Addresses

Primary practice location

13240 N Cleveland Ave Ste 3
North Fort Myers, FL 33903-4855

Mailing address

8851 Boardroom Cir
Fort Myers, FL 33919-4888
Phone (239) 481-7000

National Provider Directory

National Provider Directory

Locations

8851 Boardroom Cir
Fort Myers, FL 33919
Phone 23948170008810

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1841450327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 BOARDROOM CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194888",
            "telephone_number": "239-481-7000",
            "fax_number": "239-481-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13240 N CLEVELAND AVE STE 3",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034855",
            "telephone_number": "239-481-7000",
            "fax_number": "239-481-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO P MARIBONA DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "MARIBONA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-481-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.