Provider Demographics
NPI:1356461834
Name:SOBEL, SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:SOBEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2499 GLADES RD
Mailing Address - Street 2:SUITE 312
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7202
Mailing Address - Country:US
Mailing Address - Phone:561-613-4040
Mailing Address - Fax:561-372-7880
Practice Address - Street 1:2499 GLADES RD
Practice Address - Street 2:SUITE 312
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7209
Practice Address - Country:US
Practice Address - Phone:561-613-4040
Practice Address - Fax:561-372-7880
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7494111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022056OtherPIN
FL70376OtherBS PROVIDER NUMBER
FL022056OtherPIN