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Individual

JON J SOBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2000 CENTRE POINTE BLVD, TALLAHASSEE, FL 32308-4894
(850) 309-0400
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
(352) 391-6498

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME145711
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
437699274C
GA
Enumeration date
12/07/2005
Last updated
10/09/2020
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