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Organization
DR. BOBO, LLC
Active
Organization
DR. BOBO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY BOBO (OWNER/CHAIRMAN)
(330) 573-4722
Entity
Organization
Contact information
Practice address
820 MARTIN LUTHER KING JR BLVD, SEBRING, FL 33870-3439
(330) 573-4722
Mailing address
7501 OKEECHOBEE CT, TEMPLE TERRACE, FL 33637-7345
(330) 573-4722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
SS1069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017598200
—
FL
Enumeration date
04/24/2017
Last updated
04/24/2017
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