Maryna Nikolayevna Roberts, M.D.

Family Medicine in Fort Myers, FL. Individual provider (NPI-1).

NPI number1265616809

StatusActive

Last updated in NPPESDec 5, 2016

Details

NPI: 1265616809
Entity type: Individual (NPI-1)
Name: Maryna Nikolayevna Roberts
Credential: M.D.
Sex: Female
Sole proprietor: Yes
Enumeration date: Dec 18, 2007
Last updated: Dec 5, 2016

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	me106791	FL	Yes
207Q00000X	Family Medicine	26076	OK

Practice location

1400 Colonial Blvd
Suite 203
Fort Myers, FL 33907-1055

Phone 239-938-9184 · Fax 239-313-4687

Mailing address

13607 Pine Villa Ln
Fort Myers, FL 33912-1617

Phone 239-424-3123 · Fax 239-424-4041

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Fort Myers, FL

All 267 Family Medicine Physician providers in Fort Myers · All 10,624 providers in Fort Myers

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