Individual
VONDA BOBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1051 S HICKORY ST, MELBOURNE, FL 32901-1962
(321) 434-1919
Mailing address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7934
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME89904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272014100
—
FL
Enumeration date
02/11/2006
Last updated
10/14/2010
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