Kobobel, Jasen S
Kobobel, Jasen S is an sole proprietor health care provider with primary practice located at 1950 Rockledge Blvd Ste 101 , Rockledge FL 32955-2728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kobobel, Jasen S can be contacted via phone (321) 636-0005.Contact Information
Primary practice address
1950 Rockledge Blvd Ste 101
Rockledge FL 32955-2728
Phone: (321) 636-0005
Fax: (321) 636-9030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME86649 | Florida |
Profile Details
| NPI number | 1073550950 |
|---|---|
| LBN Legal business name | Kobobel, Jasen S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Dec 5th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073550950 | NPPES |
| Florida | MEDICAID | 266689800 |
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