MEDICARE: EMILIO RAFAEL GARRIDO SANABRIA M.D., PH.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	2084N0400X	Neurology Physician	ME140267	FL
2	2084N0400X	Neurology Physician	65539	MN
3	2084E0001X	Epilepsy Physician	ME140267	FL
4	2084N0400X	Neurology Physician	72886	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235525924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILIO RAFAEL GARRIDO SANABRIA M.D., PH.D

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-9235
Fax Number	:	239-343-4008

Provider Business Practice Location Address
First Line	:	6101 PINE RIDGE RD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3900
Country	:	US
Telephone Number	:	239-348-4221
Fax Number	:

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

Provider Enumeration Date	:	04/09/2015
Last Update Date	:	12/08/2025

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