Individual
MICHAEL F SOBOEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 PAGE RD, PINEHURST, NC 28374-8798
(910) 295-5511
(910) 235-3418
Mailing address
205 PAGE RD, PINEHURST, NC 28374-8798
(910) 295-5511
(910) 235-3443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9400359
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0403982
EVERCARE
NC
01
—
110205345
PALMETTO GBA PROVIDER#
NC
01
—
78425
BCBS
NC
05
—
7978425
—
NC
01
—
98438
MEDCOST PROVIDER#
NC
01
—
FH1000920
FIRSTCAROLINACARE PROV#
NC
01
—
N0035A
SC MEDICAID PROVIDER#
SC
Enumeration date
06/19/2006
Last updated
09/02/2009
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