Stewart, Carolyn Cobb

Stewart, Carolyn Cobb is an sole proprietor health care provider with primary practice located at 2239 S Woodland Blvd , Deland FL 32720-8633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stewart, Carolyn Cobb can be contacted via phone (386) 279-0151.

Contact Information

Primary practice address
2239 S Woodland Blvd Deland FL 32720-8633
Phone: (386) 279-0151
Fax: (386) 279-0148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9194205 Florida

Profile Details

NPI number 1174520928
LBN Legal business name Stewart, Carolyn Cobb
Credentials ARNP, BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Aug 30th, 2012 - about 13 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 1174520928 NPPES
Florida MEDICAID 765193700

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