Individual
MONYE COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 N MOON AVE STE 6, BRANDON, FL 33510-4445
Mailing address
11004 POND PINE DR, RIVERVIEW, FL 33569-2234
(813) 924-4921
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CL0232115
FL
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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