Sobe Wellness Inc | |
1485 37th St Suite 111 Vero Beach FL 32960-6500 | |
(772) 564-7887 | |
(772) 564-7007 |
Full Name | Sobe Wellness Inc |
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Speciality | Family Medicine |
Location | 1485 37th St, Vero Beach, Florida |
Authorized Official Name and Position | Dirk F Parvus (PRESIDENT) |
Authorized Official Contact | 7725647887 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sobe Wellness Inc Po Box 6009 Vero Beach FL 32961-6009 Ph: (772) 564-7887 | Sobe Wellness Inc 1485 37th St Suite 111 Vero Beach FL 32960-6500 Ph: (772) 564-7887 |
NPI Number | 1699067264 |
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Provider Enumeration Date | 05/13/2011 |
Last Update Date | 09/28/2011 |
Medicare PECOS PAC ID | 5991974974 |
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Medicare Enrollment ID | O20110808000842 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699067264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | ME0066484 (Florida) | Primary |
Provider Name | Dirk Parvus |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1912951435 PECOS PAC ID: 4082675939 Enrollment ID: I20041026000264 |
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