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
Fax: (888) 890-4766
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184626129 NPPES
Florida Other K9074 PTAN
Florida MEDICAID 054168100 PTAN

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