MEDICARE: MARK A. BOBEK M.D., PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician
3	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932186137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK A. BOBEK M.D., PA

Provider Business Mailing Address
First Line	:	713 CEDARWOOD CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-8144
Country	:	US
Telephone Number	:	407-657-9368
Fax Number	:	407-823-3082

Provider Business Practice Location Address
First Line	:	713 CEDARWOOD CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-8144
Country	:	US
Telephone Number	:	407-657-9368
Fax Number	:	407-823-3082

Authorized Official
Title or Position	:	PROVIDER/OWNER
Name	:	DR. MARK A BOBEK
Credential	:	M.D.
Telephone Number	:	407-657-9368

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	05/20/2008

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