Individual
JADE MAS KOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
650 DEL PRADO BLVD S STE 100, CAPE CORAL, FL 33990-5617
(239) 424-2060
(239) 424-2061
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-2060
(239) 424-2061
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A162053
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
ME171297
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125173600
—
FL
Enumeration date
05/04/2015
Last updated
02/28/2025
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