# RAFAEL J NOBO JR M.D., P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326316183
- **Authorized official:** DR. RAFAEL J NOBO JR. M.D., P.A. (OWNER/PHYSICIAN)
- **Authorized official phone:** (863) 533-8944

## Contact information

- **Practice address:** 222 W MAIN ST, SUITE B, BARTOW, FL 33830-4531
- **Practice address phone:** (863) 533-8944
- **Practice address fax:** (863) 533-1577
- **Mailing address:** 222 W MAIN ST, SUITE B, BARTOW, FL 33830-4531
- **Mailing address phone:** (863) 533-8944
- **Mailing address fax:** (863) 533-1577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME41315 | FL | Yes |

## Other

- **Enumeration date:** 12/08/2011
- **Last updated:** 12/15/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 53722 | MEDICARE | FL |