Provider Demographics
NPI:1811388473
Name:RUTH C SCHOBEL MD PA
Entity Type:Organization
Organization Name:RUTH C SCHOBEL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHOBEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-823-2222
Mailing Address - Street 1:7480 FAIRWAY DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6879
Mailing Address - Country:US
Mailing Address - Phone:305-823-2222
Mailing Address - Fax:305-823-4349
Practice Address - Street 1:7480 FAIRWAY DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6879
Practice Address - Country:US
Practice Address - Phone:305-823-2222
Practice Address - Fax:305-823-4349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0041350208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL044270400Medicaid
D63931OtherUPIN
538394OtherMEDICARE