| Sovereign Medical Associates | |
|
5210 Linton Blvd Ste 304 Delray Beach FL 33484-6542 | |
| (561) 212-2021 | |
| Not Available |
| Full Name | Sovereign Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 5210 Linton Blvd, Delray Beach, Florida |
| Authorized Official Name and Position | Richard Roderick Bobe (PRESIDENT) |
| Authorized Official Contact | 5612122021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sovereign Medical Associates 9363 Lake Serena Dr Boca Raton FL 33496-6509 Ph: () - | Sovereign Medical Associates 5210 Linton Blvd Ste 304 Delray Beach FL 33484-6542 Ph: (561) 212-2021 |
| NPI Number | 1588958649 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 07/21/2011 |
| Medicare PECOS PAC ID | 2668641564 |
|---|---|
| Medicare Enrollment ID | O20110810000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588958649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME95575 (Florida) | Primary |
| Provider Name | Richard Bobe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841258571 PECOS PAC ID: 3870506256 Enrollment ID: I20060802000021 |
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