Provider Demographics
NPI:1215268628
Name:SOBERAL, LORI F (DNP, FNP-BC, ANP-BC)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:F
Last Name:SOBERAL
Suffix:
Gender:F
Credentials:DNP, FNP-BC, ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 PGA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-3836
Mailing Address - Country:US
Mailing Address - Phone:561-842-7246
Mailing Address - Fax:561-408-0950
Practice Address - Street 1:5600 PGA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3836
Practice Address - Country:US
Practice Address - Phone:561-842-7246
Practice Address - Fax:561-408-0950
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2020-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3195152363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner