Cobb, James William

Cobb, James William is an individual health care provider with primary practice located at 2186 Harris Ave Ne Ste 1, Palm Bay FL 32905-4044. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cobb, James William can be contacted via phone (321) 724-2020.

Contact Information

Primary practice address
2186 Harris Ave Ne Ste 1 Palm Bay FL 32905-4044
Phone: (321) 724-2020
Fax: (321) 724-9088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 974 Florida

Profile Details

NPI number 1568466803
LBN Legal business name Cobb, James William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 28th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568466803 NPPES
Florida Other 048031001 DMERC
Florida Other 7147100 DMERC
Florida Other 4497605 DMERC
Florida MEDICAID 084742900 DMERC
Florida Other 19549 DMERC
Florida Other 580098649 DMERC
Florida Other 625580 DMERC

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