NPI 1417907304

Jose V Coba, MD

Practitioner General Practice Physician Lauderdale Lakes, FL

Practice location

Address: 4800 N State Road 7 Suite F103, Lauderdale Lakes, FL 33319-5811
Phone: (954) 372-9440
Fax: (954) 513-4641
Mailing address: 304 Indian Trce Suite 191, Weston, FL 33326-2996

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence ME90693 (FL)

Other General Practice providers in Florida →

Registry record

NPI: 1417907304
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2006
Record last updated: 6 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.