Lobar Medical PA

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

ME115085 Issued in FL

Legal business name

LOBAR MEDICAL PA

Practice address

24044 Integrity Way
Sorrento, FL 32776-9353

Phone

(352) 735-3118

NPI assigned

Oct 9, 2015

Last updated

Oct 9, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce Lobar, MD

Title

Owner

Phone

(352) 735-3118

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1457722928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24044 INTEGRITY WAY",
            "city": "SORRENTO",
            "state": "FL",
            "postal_code": "327769353",
            "telephone_number": "352-735-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24044 INTEGRITY WAY",
            "city": "SORRENTO",
            "state": "FL",
            "postal_code": "327769353",
            "telephone_number": "352-735-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOBAR MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "LOBAR",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-735-3118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "FL",
            "license": "ME115085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neurophysiology Physician in Sorrento, FL
• Providers in Sorrento, FL by specialty
• Clinical Neurophysiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.