MEDICARE: DANITA COBB

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	253Z00000X	In Home Supportive Care Agency	30212394	FL
2	372600000X	Adult Companion	235250	FL
3	251J00000X	Nursing Care Agency	30212394	FL
4	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1215483508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANITA COBB

Provider Business Mailing Address
First Line	:	750 SOUTH ORANGE BLOSSOM TRAIL. SUITE 236
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32805
Country	:	US
Telephone Number	:	407-717-4164
Fax Number	:	407-205-1128

Provider Business Practice Location Address
First Line	:	750 S ORANGE BLOSSOM TRL STE 236
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32805-3196
Country	:	US
Telephone Number	:	407-717-4164
Fax Number	:	407-205-1128

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2016
Last Update Date	:	06/08/2026

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Directions to “ DANITA COBB ” Practice Location

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