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NPI Code Detail

MEDICARE: MS. VICKI LYNN COBB PMHNP

MEDICARE:  MS. VICKI LYNN COBB  PMHNP
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 ProgramRN9262827FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN9262827OTHERFLFLORIDA REGISTERED NURSE LICENSE

General Provider Information

NPI Number : 1780982165
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VICKI LYNN COBB PMHNP
Provider Business Mailing Address
First Line : 3530 NW 73RD WAY
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-2137
Country : US
Telephone Number : 305-409-4137
Fax Number :
Provider Business Practice Location Address
First Line : 3530 NW 73RD WAY
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-2137
Country : US
Telephone Number : 305-409-4137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2011
Last Update Date : 04/03/2026

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