=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194891655
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | IRBF INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/28/2006
-----------------------------------------------------
Last Update Date | 05/31/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16251 N CLEVELAND AVE SUITE 7
-----------------------------------------------------
City | NORTH FORT MYERS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33903-2176
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-656-6565
-----------------------------------------------------
Fax | 239-656-3081
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16251 N CLEVELAND AVE SUITE 7
-----------------------------------------------------
City | NORTH FORT MYERS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33903-2176
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-656-6565
-----------------------------------------------------
Fax | 239-656-3081
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BILLER
-----------------------------------------------------
Name | MS. SHERIE L AKERLEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 239-656-6565
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------