Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME0037141 | FL |
NPI | 1003896598 |
---|---|
Provider Name | John C. Nobel |
First Address | Tampa, FL 33613-4655 |
Second Address | Tampa, FL 33613-4655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 14/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2505049 | UNITED HEALTHCARE (01) | FL |
30488 | BCBS (01) | FL |
4092977 | AETNA (01) | FL |
60046957 | MEDICARE RAILROAD (01) | FL |
D54013 | (02) | FL |