Individual
MICHAEL DAVID SOMBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 RINEHART RD, LAKE MARY, FL 32746-2514
(321) 843-2100
(321) 842-3498
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME56372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124410400
—
FL
01
—
K9074
PTAN
FL
Enumeration date
08/10/2005
Last updated
07/01/2025
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