Provider Demographics
NPI:1194891655
Name:IRBF INC
Entity type:Organization
Organization Name:IRBF INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:AKERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-656-6565
Mailing Address - Street 1:16251 N CLEVELAND AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-2176
Mailing Address - Country:US
Mailing Address - Phone:239-656-6565
Mailing Address - Fax:239-656-3081
Practice Address - Street 1:16251 N CLEVELAND AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-2176
Practice Address - Country:US
Practice Address - Phone:239-656-6565
Practice Address - Fax:239-656-3081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL213E00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4910220001Medicare NSC