Dr. Miroslav Rafael Brzobohaty, DO
Internal Medicine in Fort Myers, FL. Individual provider (NPI-1).
NPI number1407413636
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1407413636
- Entity type
- Individual (NPI-1)
- Name
- Dr. Miroslav Rafael Brzobohaty
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2019
- Certification date
- Oct 3, 2023
- Last updated
- Oct 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | OS17489 | FL | Yes |
Practice location
9371 Cypress Lake Dr Ste 12Fort Myers, FL 33919-4995
Phone 239-440-6456 · Fax 239-236-0337
Mailing address
7031 Sw 62nd AveSouth Miami, FL 33143-4701
Phone 305-284-7761
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