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General NPI Number Information
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NPI Number | 1023228988
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Entity Type | Individual
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Provider Name | JOSE ANTONIO COBIELLA M.D. PA
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 03/08/2012
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Provider Practice Location Address
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Address Line | 950 N KROME AVE STE 203
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City | HOMESTEAD
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State | FL
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Zip | 33030-4455
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Country | US
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Telephone | 305-242-0911
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Fax | 305-242-0912
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Provider Business Mailing Address
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Address Line | 8240 SW 36TH ST
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City | MIAMI
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State | FL
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Zip | 33155-3327
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Country | US
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Telephone | 305-542-9024
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10021621
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME 101162
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License Number State | FL
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