Individual
DR. MICHAEL SORBELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2163
(321) 268-6192
Mailing address
PO BOX 3148, INDIANAPOLIS, IN 46206-3148
(855) 206-8407
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
OS6632
FL
2085R0202X
Diagnostic Radiology Physician
OS0006632
FL
2085R0202X
Diagnostic Radiology Physician
Primary
OS6632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300038677
RR MEDICARE
FL
05
—
374311000
—
FL
01
—
80831
BCBS
FL
05
—
9743110001
—
FL
01
—
P00467234
RR MEDICARE
FL
Enumeration date
05/08/2006
Last updated
09/28/2015
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