MICHAEL R THEOBALD

FORT MYERS, FL
NPI1952393464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: FL  ME73419)
Enumeration Date2005-08-19
Last Update Date2024-02-13
Business Address
DR. MICHAEL R THEOBALD M.D.
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912-4705
Phone number: 239-936-2316
Mailing Address
DR. MICHAEL R THEOBALD M.D.
3660 BROADWAY
FORT MYERS, FL 33901-8005
Phone number: 239-425-4745