Provider Demographics
NPI:1467179465
Name:SOBEC LLC
Entity Type:Organization
Organization Name:SOBEC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:H
Authorized Official - Last Name:PADILLA GALIS MENENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-395-8225
Mailing Address - Street 1:6911 PISTOL RANGE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-6335
Mailing Address - Country:US
Mailing Address - Phone:786-395-8225
Mailing Address - Fax:
Practice Address - Street 1:6911 PISTOL RANGE RD STE 101
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-6335
Practice Address - Country:US
Practice Address - Phone:786-395-8225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty