Physician Compare National (NPI:1174580617)

HEALTHCARE PROVIDER: GARY TOBIS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1174580617
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133282817
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090106000686
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TOBIS
	Individual professional last name
Provider First Name	GARY
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	399 TEQUESTA DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 102
	Group Practice or individual's line 2 address
City	TEQUESTA
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	334693087
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5617475533
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100253
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JUPITER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y