MEDICARE: DR. LORI F SOBERAL DNP, FNP-BC, ANP-BC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	ARNP3195152	FL

General Provider Information

NPI Number	:	1215268628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI F SOBERAL DNP, FNP-BC, ANP-BC

Provider Business Mailing Address
First Line	:	5600 PGA BLVD STE 200
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3836
Country	:	US
Telephone Number	:	561-842-7246
Fax Number	:	561-408-0950

Provider Business Practice Location Address
First Line	:	5600 PGA BLVD STE 200
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3836
Country	:	US
Telephone Number	:	561-842-7246
Fax Number	:	561-408-0950

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2010
Last Update Date	:	04/05/2020

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