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1952393464
MICHAEL R THEOBALD
FORT MYERS, FL
NPI
1952393464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL ME73419)
Enumeration Date
2005-08-19
Last Update Date
2024-02-13
Business Address
Dr. MICHAEL R THEOBALD M.D.
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912-4705
Phone number: 239-936-2316
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Mailing Address
Dr. MICHAEL R THEOBALD M.D.
3660 BROADWAY
FORT MYERS, FL 33901-8005
Phone number: 239-425-4745
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