Individual
DR. BERNARDO OBESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 223-5618
(772) 288-5834
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5618
(772) 288-5834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-097412
IL
207R00000X
Internal Medicine Physician
ME99089
FL
208M00000X
Hospitalist Physician
Primary
ME99089
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279958800
—
FL
01
—
78593
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
12/29/2006
Last updated
04/05/2021
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