| Sobe Wellness Inc | |
|
1485 37th St Suite 111 Vero Beach FL 32960-6500 | |
| (772) 564-7887 | |
| (772) 564-7007 |
| Full Name | Sobe Wellness Inc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/13/2011 |
| Last Update Date | 09/28/2011 |
| Medicare PECOS PAC ID | 5991974974 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912951435 PECOS PAC ID: 4082675939 Enrollment ID: I20041026000264 |
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