Organization
RONALD E BOBUS ACSW LMFT & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD E BOBUS ACSW LMFT (PVST)
(904) 246-2629
Entity
Organization
Contact information
Practice address
3082 3RD ST S, JACKSONVILLE BEACH, FL 32250-6033
(904) 246-2629
(904) 246-1510
Mailing address
PO BOX 1421, PONTE VEDRA, FL 32004-1421
(904) 246-2629
(904) 246-1510
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10745333
CAQH
FL
01
—
136144193193
HUMANA
FL
01
—
734016000
MAGELLAN
FL
01
—
7471671
AETNA
FL
01
—
A059051
VALUE OPTIONS
FL
01
—
Z2457
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/19/2008
Last updated
05/19/2008
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