Provider Demographics
NPI:1730561606
Name:RIOBE INSTITUTE OF INTEGRATIVE GYNECOLOGY
Entity type:Organization
Organization Name:RIOBE INSTITUTE OF INTEGRATIVE GYNECOLOGY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MYLAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-440-4156
Mailing Address - Street 1:777 S FLAGLER DR
Mailing Address - Street 2:SUITE 800, WEST TOWER
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6161
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1001 SE MONTEREY COMMONS BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-3329
Practice Address - Country:US
Practice Address - Phone:561-440-4156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82630207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty