Individual
DR. JOSE RAUL SOBERON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0301
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0301
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD.203898
LA
207L00000X
Anesthesiology Physician
Primary
ME103757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001492700
—
FL
05
—
017413700
—
FL
05
—
05523574
—
MS
05
—
2132113
—
LA
Enumeration date
11/15/2006
Last updated
08/15/2016
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