Provider Demographics
NPI:1295780104
Name:SOBEL, ROSE MARY (MD)
Entity type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:MARY
Last Name:SOBEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7006 W GULF TO LAKE HWY
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-7838
Mailing Address - Country:US
Mailing Address - Phone:352-795-3872
Mailing Address - Fax:352-795-3976
Practice Address - Street 1:7006 W GULF TO LAKE HWY
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-7838
Practice Address - Country:US
Practice Address - Phone:352-795-3872
Practice Address - Fax:352-795-3976
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81874207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263642500Medicaid
FLK5629Medicare PIN