# RONALD E BOBUS ACSW LMFT & ASSOCIATES PA

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

## Provider details

- **NPI number:** 1649437567
- **Authorized official:** RONALD E BOBUS ACSW LMFT (PVST)
- **Authorized official phone:** (904) 246-2629

## Contact information

- **Practice address:** 3082 3RD ST S, JACKSONVILLE BEACH, FL 32250-6033
- **Practice address phone:** (904) 246-2629
- **Practice address fax:** (904) 246-1510
- **Mailing address:** PO BOX 1421, PONTE VEDRA, FL 32004-1421
- **Mailing address phone:** (904) 246-2629
- **Mailing address fax:** (904) 246-1510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MT1194 | FL | Yes |

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 05/19/2008
