Active NPI
Ricardo P Maribona DPM PA
- Foot & Ankle Surgery Podiatrist
- North Fort Myers, FL
National Provider Identifier
1841450327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO2055
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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 DirectoryLocations
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.