Organization Active NPI

Sobe Wellness Inc

  • Adult Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1699067264
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME0066484 Issued in FL
Legal business name
SOBE WELLNESS INC
Practice address
1485 37TH St
Suite 111
Vero Beach, FL 32960-6500
Phone
(772) 564-7887
Fax
(772) 564-7007
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Dr. Dirk F Parvus, M.D.NPI 1912951435
Title
President
Phone
(772) 564-7887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X ME0066484 FL Primary

Addresses

Primary practice location

1485 37TH St
Suite 111
Vero Beach, FL 32960-6500

Mailing address

PO Box 6009
Vero Beach, FL 32961-6009
Phone (772) 564-7887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110808000842 FL Part B Supplier - Clinic/Group Practice 5991974974 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1699067264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6009",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329616009",
            "telephone_number": "772-564-7887",
            "fax_number": "772-564-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 37TH ST",
            "address_2": "SUITE 111",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606500",
            "telephone_number": "772-564-7887",
            "fax_number": "772-564-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBE WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "PARVUS",
        "authorized_official_first_name": "DIRK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-564-7887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME0066484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.