MEDICARE: ROBERT FRANCIS HUBBARD M.D.

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
1	207Q00000X	Family Medicine Physician	036068580	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2220936	OTHER	IL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669469631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT FRANCIS HUBBARD M.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-9470
Fax Number	:	239-343-9498

Provider Business Practice Location Address
First Line	:	8960 COLONIAL CENTER DRIVE
Second Line	:	SUITE 300
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7810
Country	:	US
Telephone Number	:	239-343-9470
Fax Number	:	239-343-9498

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	03/25/2021

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