Healthcare Provider Details

I. General information

NPI: 1194891655
Provider Name (Legal Business Name): IRBF INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 05/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16251 N CLEVELAND AVE SUITE 7
NORTH FORT MYERS FL
33903-2176
US

IV. Provider business mailing address

16251 N CLEVELAND AVE SUITE 7
NORTH FORT MYERS FL
33903-2176
US

V. Phone/Fax

Practice location:
  • Phone: 239-656-6565
  • Fax: 239-656-3081
Mailing address:
  • Phone: 239-656-6565
  • Fax: 239-656-3081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateFL

VIII. Authorized Official

Name: MS. SHERIE L AKERLEY
Title or Position: BILLER
Credential:
Phone: 239-656-6565