Provider Demographics
NPI:1083891360
Name:ROBERT BOYD TOBER INC
Entity Type:Organization
Organization Name:ROBERT BOYD TOBER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BOYD
Authorized Official - Last Name:TOBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-450-5375
Mailing Address - Street 1:2240 SOUTHWINDS DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-7656
Mailing Address - Country:US
Mailing Address - Phone:239-450-5375
Mailing Address - Fax:239-649-0343
Practice Address - Street 1:BENTLEY VILLAGE CARE CENTER
Practice Address - Street 2:875 RETREAT DRIVE
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110
Practice Address - Country:US
Practice Address - Phone:239-598-3191
Practice Address - Fax:239-598-3194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0030891207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD61586Medicare UPIN