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NPI Code Detail

MEDICARE: DR. REX E STUBBS M.D.

MEDICARE: DR. REX E STUBBS 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
1207V00000XObstetrics & Gynecology PhysicianME38642FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000011209MOTHERFLHUMANA
215775OTHERFLBC/BS OF FLORIDA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4208924OTHERFLAVMED
516093OTHERFLSTAYWELL

General Provider Information

NPI Number : 1750363941
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REX E STUBBS M.D.
Provider Business Mailing Address
First Line : 12730 NEW BRITTANY BLVD STE 602
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-4690
Country : US
Telephone Number : 239-275-5522
Fax Number : 239-275-4464
Provider Business Practice Location Address
First Line : 9021 PARK ROYAL DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-9617
Country : US
Telephone Number : 239-432-5858
Fax Number : 239-482-6297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 10/24/2017

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Directions to “ DR. REX E STUBBS M.D.” Practice Location

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