Ober, Vincent Hilles
Ober, Vincent Hilles is an individual health care provider with primary practice located at 5614 San Jose Boulevard San Jose Family Practice Center, Jacksonville FL 32207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ober, Vincent Hilles can be contacted via phone (904) 633-0475.Contact Information
Primary practice address
5614 San Jose Boulevard San Jose Family Practice Center
Jacksonville FL 32207
Phone: (904) 633-0475
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | ME65284 | Florida |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME65284 | Florida |
Profile Details
NPI number | 1669432423 |
---|---|
LBN Legal business name | Ober, Vincent Hilles |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Jan 25th, 2021 - about 4 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 | 1669432423 | NPPES |
Georgia | MEDICAID | 000603391A | |
Georgia | Other | 080066380 | |
Georgia | MEDICAID | 3753671-00 |
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