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NPI Code Detail

MEDICARE: JOSE V COBA MD MPH PA

MEDICARE: JOSE V COBA MD MPH PA
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
1208D00000XGeneral Practice PhysicianME90693FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME90693OTHERFLFLORIDA LICENSE

General Provider Information

NPI Number : 1982970745
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSE V COBA MD MPH PA
Provider Business Mailing Address
First Line : 85 GRAND CANAL DR STE 400
Second Line :
City : MIAMI
State : FL
Zip : 33144-2570
Country : US
Telephone Number : 305-260-0200
Fax Number : 305-260-0061
Provider Business Practice Location Address
First Line : 85 GRAND CANAL DR STE 400
Second Line :
City : MIAMI
State : FL
Zip : 33144-2570
Country : US
Telephone Number : 305-260-0200
Fax Number : 305-260-0061
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOSE V COBA
Credential : MD
Telephone Number : 954-603-1182
Provider Enumeration Date : 03/27/2012
Last Update Date : 03/27/2012

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