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NPI Code Detail

MEDICARE: SOBE WELL WORX LLC

MEDICARE: SOBE WELL WORX LLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1396594446
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOBE WELL WORX LLC
Provider Business Mailing Address
First Line : 1440 SEAWAY DR # 1
Second Line :
City : HUTCHINSON ISLAND
State : FL
Zip : 34949-3152
Country : US
Telephone Number : 786-303-6862
Fax Number :
Provider Business Practice Location Address
First Line : 1440 SEAWAY DR # 1
Second Line :
City : HUTCHINSON ISLAND
State : FL
Zip : 34949-3152
Country : US
Telephone Number : 786-303-6862
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. PATRECE A FRISBEE
Credential : DC
Telephone Number : 786-303-6862
Provider Enumeration Date : 05/13/2024
Last Update Date : 05/30/2024

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Directions to “SOBE WELL WORX LLC ” Practice Location

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