Provider Demographics
NPI:1366776510
Name:SOBE WELL, P.A.
Entity type:Organization
Organization Name:SOBE WELL, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRECE
Authorized Official - Middle Name:ADELE
Authorized Official - Last Name:FRISBEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-598-6767
Mailing Address - Street 1:3121 PONCE DE LEON BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6816
Mailing Address - Country:US
Mailing Address - Phone:305-598-6767
Mailing Address - Fax:305-598-6766
Practice Address - Street 1:3121 PONCE DE LEON BLVD
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6816
Practice Address - Country:US
Practice Address - Phone:305-598-6767
Practice Address - Fax:305-598-6766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6620111NN1001X, 171100000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty