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NPI Code Detail

MEDICARE: RAQUEL COBBS

MEDICARE:   RAQUEL  COBBS
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
1172V00000XCommunity Health Worker251B00000XFL

Other Identifiers

General Provider Information

NPI Number : 1821344292
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAQUEL COBBS
Provider Business Mailing Address
First Line : 9314 LAKE FISCHER BLVD
Second Line :
City : GOTHA
State : FL
Zip : 34734-5203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9314 LAKE FISCHER BLVD
Second Line :
City : GOTHA
State : FL
Zip : 34734-5203
Country : US
Telephone Number : 407-294-3872
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2012
Last Update Date : 08/03/2012

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Directions to “ RAQUEL COBBS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.