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NPI Code Detail

MEDICARE: SOBE WELL, P.A.

MEDICARE: SOBE WELL, P.A.
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
1111NN1001XNutrition ChiropractorCH6620FL
2171100000XAcupuncturistCH6620FL
3111N00000XChiropractorCH6620FL

General Provider Information

NPI Number : 1366776510
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOBE WELL, P.A.
Provider Business Mailing Address
First Line : 3121 PONCE DE LEON BLVD
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-6816
Country : US
Telephone Number : 305-598-6767
Fax Number : 305-598-6766
Provider Business Practice Location Address
First Line : 3121 PONCE DE LEON BLVD
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-6816
Country : US
Telephone Number : 305-598-6767
Fax Number : 305-598-6766
Authorized Official
Title or Position : SOLE PROPRIETOR
Name : PATRECE ADELE FRISBEE
Credential : D.C.
Telephone Number : 305-598-6767
Provider Enumeration Date : 09/21/2009
Last Update Date : 09/21/2009

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Directions to “SOBE WELL, P.A. ” Practice Location

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