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Rafael J Nobo Jr M.D., P.A.

Obstetrics & Gynecology in Bartow, FL. Organization (NPI-2).

NPI number1326316183
StatusActive
Last updated in NPPESDec 15, 2011

Details

NPI
1326316183
Entity type
Organization (NPI-2)
Legal business name
Rafael J Nobo Jr M.D., P.A.
Organization subpart
No
Enumeration date
Dec 8, 2011
Last updated
Dec 15, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecologyme41315FLYes

Practice location

222 W Main St
Suite B
Bartow, FL 33830-4531

Phone 863-533-8944 · Fax 863-533-1577

Mailing address

222 W Main St
Suite B
Bartow, FL 33830-4531

Phone 863-533-8944 · Fax 863-533-1577

Authorized official

Rafael J Nobo
Owner/Physician
8635338944

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