Provider Demographics
NPI:1639285315
Name:TORGBEDE, BOB KWESI (PA)
Entity Type:Individual
Prefix:MR
First Name:BOB
Middle Name:KWESI
Last Name:TORGBEDE
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:5331 SW 184TH WAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-6296
Mailing Address - Country:US
Mailing Address - Phone:786-888-8820
Mailing Address - Fax:305-595-3088
Practice Address - Street 1:TWO DATRAN CENTER
Practice Address - Street 2:SUITE 1202 9130 S DADELAND BOULEVARD
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156
Practice Address - Country:US
Practice Address - Phone:786-888-8820
Practice Address - Fax:786-888-8820
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2019-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9101958363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant