| Doctor Name: | JOSE V COBA |
| NPI Number: | 1417907304 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME90693 |
| Business Practice Address: | 4800 N State Road 7 Suite F103 Lauderdale Lakes, FL - 333195811 |
| Business Phone Number: | 9543729440 |
| Business Fax Number: | 9545134641 |
| Mailing Address: | 304 Indian Trce, Suite 191 WESTON |
| State: | FL |
| Postal Code: | 333262996 |
| Phone Number: | 9543729440 |
| Fax Number: | 9545134641 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME90693 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |