MEDICARE: DR. LEDYA COBIAN M.D.

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	207RI0200X	Infectious Disease Physician	ME58079	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619973377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEDYA COBIAN M.D.

Provider Business Mailing Address
First Line	:	2151 E COMMERCIAL BLVD STE 203
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-3807
Country	:	US
Telephone Number	:	954-489-2260
Fax Number	:	954-489-2261

Provider Business Practice Location Address
First Line	:	2151 E COMMERCIAL BLVD STE 203
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-3807
Country	:	US
Telephone Number	:	954-489-2260
Fax Number	:	954-489-2261

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	01/25/2019

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Directions to “ DR. LEDYA COBIAN M.D.” Practice Location

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