Individual
DR. AJARVIS COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-4631
Mailing address
2902 SW 115TH AVE APT. 303, MIRAMAR, FL 33025-5421
(904) 868-8724
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
PS57725
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/23/2017
Last updated
09/21/2019
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