Healthcare Provider Details

I. General information

NPI: 1063482818
Provider Name (Legal Business Name): GLORIA RIBAS-SCHULTZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 09/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8360 SIERRA MEADOWS BLVD
NAPLES FL
34113-7328
US

IV. Provider business mailing address

8360 SIERRA MEADOWS BLVD
NAPLES FL
34113-7328
US

V. Phone/Fax

Practice location:
  • Phone: 239-403-6300
  • Fax: 239-430-7810
Mailing address:
  • Phone: 239-403-6300
  • Fax: 239-430-7810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME0064673
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: