MEDICARE: J LUCAS KOBERDA, MD, PHD, NEUROLOGY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1962447268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J LUCAS KOBERDA, MD, PHD, NEUROLOGY, LLC

Provider Business Mailing Address
First Line	:	4838 KERRY FOREST PKWY
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-2272
Country	:	US
Telephone Number	:	850-877-2802
Fax Number	:	850-222-1383

Provider Business Practice Location Address
First Line	:	4838 KERRY FOREST PKWY
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-2272
Country	:	US
Telephone Number	:	850-877-2802
Fax Number	:	850-222-1383

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. JAROSLAW LUCAS KOBERDA
Credential	:
Telephone Number	:	850-877-2802

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	02/07/2014

Similar Medicare Providers

1225293764 — MS. SARA ELIZABETH RANDALL-MACDONNELL AAPRN
Practice Location Address:

4838 KERRY FOREST PKWY
TALLAHASSEE, FL
32309-2272

Practice Phone: 850-262-8500
Practice Fax: 850-409-9002

1972548279 — DR. JAROSLAW LUCAS KOBERDA M.D., PHD, NEUROLOGY
Practice Location Address:

4838 KERRY FOREST PKWY
TALLAHASSEE, FL
32309-2272

Practice Phone: 850-877-2802
Practice Fax: 850-222-1383

1679269054 — BRADLEY OSCEOLA LATCHFORD
Practice Location Address:

2272 WABASH TRL
TALLAHASSEE, FL
32303-8370

Practice Phone: 954-661-7990
Practice Fax:

1013840164 — OLIVIA PANKALLA
Practice Location Address:

2928 WELLINGTON CIR STE 201
TALLAHASSEE, FL
32309-6879

Practice Phone: 850-521-0242
Practice Fax:

1083546188 — MRS. CHARLY NOTTKE
Practice Location Address:

2928 WELLINGTON CIR
TALLAHASSEE, FL
32309-6887

Practice Phone: 850-521-1973
Practice Fax:

1871425793 — JILL WASHINGTON
Practice Location Address:

2305 KILLEARN CENTER BLVD APT E101
TALLAHASSEE, FL
32309-3526

Practice Phone: 321-332-3882
Practice Fax:

Directions to “J LUCAS KOBERDA, MD, PHD, NEUROLOGY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.