Provider Demographics
NPI:1467792515
Name:SOBE, NKUME JR
Entity Type:Individual
Prefix:DR
First Name:NKUME
Middle Name:
Last Name:SOBE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21005 NE 19TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1511
Mailing Address - Country:US
Mailing Address - Phone:585-354-3847
Mailing Address - Fax:305-397-1219
Practice Address - Street 1:3029 NE 188TH ST APT 316
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2991
Practice Address - Country:US
Practice Address - Phone:585-354-3847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2020-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25903225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist