Provider Demographics
NPI:1265272918
Name:SOBE WELL INSTITUTE LLC
Entity type:Organization
Organization Name:SOBE WELL INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRECE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRISBEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:786-303-6862
Mailing Address - Street 1:11987 SOUTHERN BLVD # 104
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-7619
Mailing Address - Country:US
Mailing Address - Phone:786-303-6862
Mailing Address - Fax:
Practice Address - Street 1:1440 SEAWAY DR # 1
Practice Address - Street 2:
Practice Address - City:HUTCHINSON ISLAND
Practice Address - State:FL
Practice Address - Zip Code:34949-3152
Practice Address - Country:US
Practice Address - Phone:786-303-6862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty