MEDICARE: GLORIA RIBAS-SCHULTZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ME0064673	FL

General Provider Information

NPI Number	:	1063482818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA RIBAS-SCHULTZ M.D.

Provider Business Mailing Address
First Line	:	8360 SIERRA MEADOWS BLVD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34113-7328
Country	:	US
Telephone Number	:	239-403-6300
Fax Number	:	239-430-7810

Provider Business Practice Location Address
First Line	:	8360 SIERRA MEADOWS BLVD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34113-7328
Country	:	US
Telephone Number	:	239-403-6300
Fax Number	:	239-430-7810

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	09/29/2010

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