Jorg A Bober is a Sports Medicine in Orange Park, Florida. Jorg A Bober practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jorg A Bober is 1720108012. The last update date is 2011-03-01.
Jorg A Bober's current location address is 1409 Kingsley Ave, Orange Park, Florida. You can contact this provider via phone number 9046370037. The mailing address for Jorg A Bober is 1409 Kingsley Ave, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jorg A Bober |
|---|---|
| Address | 1409 Kingsley Ave, Orange Park, Florida |
| Phone Number | 9046370037 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1720108012 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2011-03-01 |
Provider Mailing Address Detail
| Address | 1409 Kingsley Ave |
|---|---|
| City | Orange Park |
| State | Florida (FL) |
| Post Code | 320734537 |
| Phone Number | 9046370037 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | PO3294 |
|
Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6605219 | FL | CIGNA | |
| 2908200 | FL | -- | |
| 65967 | FL | BCBS | |
| 6605219 | FL | GREAT WEST | |
| PO3294 | FL | FL STATE LICENSE | |
| 7923937 | FL | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jorg A Bober by the Centers for Medicare & Medicaid Services?
The Jorg A Bober has been issued the NPI (National Provider Identifier) 1720108012, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jorg A Bober is located?
The Jorg A Bober is situated at the following address: 1409 Kingsley Ave, Orange Park, FL, 320734537.
What is the area of specialization for Jorg A Bober, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jorg A Bober is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0000X.
When did Jorg A Bober receive its 1720108012 assignment?
The Jorg A Bober was assigned its 1720108012 on 2007-03-30, which is the date when this unique identifier was issued to the organization.
When was the information related to Jorg A Bober most recently updated or refreshed?
The details pertaining to the Jorg A Bober, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-03-01.
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