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NPI Code Detail

MEDICARE: JOHNNY COBAS HERNANDEZ MD

MEDICARE:   JOHNNY  COBAS HERNANDEZ  MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1053094144
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHNNY COBAS HERNANDEZ MD
Provider Business Mailing Address
First Line : 4304 ALTON RD APT 229
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-4200
Country : US
Telephone Number : 786-754-3986
Fax Number :
Provider Business Practice Location Address
First Line : 11000 TERMINAL ACCESS RD
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-8209
Country : US
Telephone Number : 239-590-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2023
Last Update Date : 03/21/2026

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Directions to “ JOHNNY COBAS HERNANDEZ MD” Practice Location

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