Provider Demographics
NPI:1679503809
Name:RICHARD R BOBE MD PA
Entity Type:Organization
Organization Name:RICHARD R BOBE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:RODERICK
Authorized Official - Last Name:BOBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-471-2623
Mailing Address - Street 1:3327 MEDICAL HILL RD
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-5531
Mailing Address - Country:US
Mailing Address - Phone:863-471-2623
Mailing Address - Fax:
Practice Address - Street 1:3327 MEDICAL HILL RD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-5531
Practice Address - Country:US
Practice Address - Phone:863-471-2623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95575207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ0028Medicare PIN