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NPI Code Detail

MEDICARE: RALPH S RYBACK MD LP

MEDICARE: RALPH S RYBACK MD LP
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
12084P0800XPsychiatry PhysicianME92563FL
2261QP2300XPrimary Care Clinic/CenterNPI1508179490FL
3208D00000XGeneral Practice PhysicianME 92563FL

General Provider Information

NPI Number : 1831146141
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALPH S RYBACK MD LP
Provider Business Mailing Address
First Line : 1415 PANTHER LN
Second Line : #248
City : NAPLES
State : FL
Zip : 34109-7874
Country : US
Telephone Number : 239-775-4500
Fax Number : 239-775-2990
Provider Business Practice Location Address
First Line : 1303 HOMESTEAD RD N
Second Line : #102
City : LEHIGH ACRES
State : FL
Zip : 33936-6049
Country : US
Telephone Number : 239-303-2700
Fax Number : 239-303-2756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 03/20/2025

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