Individual
DR. REBECCA GRUNBAUM BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 SE MONTEREY RD, SUITE 104, STUART, FL 34994-4512
(772) 283-2020
(772) 220-9582
Mailing address
1050 SE MONTEREY RD, SUITE 104, STUART, FL 34994-4512
(772) 283-2020
(772) 219-7924
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME97719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181368
GHI
FL
01
—
05589
BLUE CROSS BLUE SHIELD FL
FL
01
—
2075532
CIGNA
FL
01
—
25534
COVENTRY HEALTH CARE
FL
01
—
4950
EVOLUTIONS
FL
01
—
9381076
AETNA
FL
01
—
FL53641
VISION BENEFITS OF AMERIC
FL
Enumeration date
01/23/2007
Last updated
02/27/2014
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