Sombeck, Michael David
Sombeck, Michael David is an individual health care provider with primary practice located at 1561 W Fairbanks Ave Suite 100, Winter Park FL 32789-4678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Sombeck, Michael David can be contacted via phone (888) 860-4766.Contact Information
Primary practice address
1561 W Fairbanks Ave Suite 100
Winter Park FL 32789-4678
Phone: (888) 860-4766
Fax: (888) 890-4766
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME56372 | Florida |
Profile Details
NPI number | 1184626129 |
---|---|
LBN Legal business name | Sombeck, Michael David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2005 |
Last updated | Aug 17th, 2016 - about 8 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 | 1184626129 | NPPES |
Florida | Other | K9074 | PTAN |
Florida | MEDICAID | 054168100 | PTAN |
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