Healthcare Provider Details

I. General information

NPI: 1346395969
Provider Name (Legal Business Name): ROBERT J CUBEDDU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 06/05/2025
Certification Date: 05/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

399 9TH ST N STE 300
NAPLES FL
34102
US

IV. Provider business mailing address

399 9TH ST N STE 300
NAPLES FL
34102-5820
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-4200
  • Fax: 239-624-4241
Mailing address:
  • Phone: 239-624-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME87165
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: