Healthcare Provider Details

I. General information

NPI: 1881504132
Provider Name (Legal Business Name): EMILY ROSE BOBST APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1713 US HIGHWAY 441 N STE G
OKEECHOBEE FL
34972-1900
US

IV. Provider business mailing address

8668 SW 2ND ST
OKEECHOBEE FL
34974-1501
US

V. Phone/Fax

Practice location:
  • Phone: 863-357-6030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11050847
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: