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Individual

JAMES WILLIAM COBB JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2186 HARRIS AVE NE, STE 1, PALM BAY, FL 32905-4044
(321) 724-2020
(321) 724-9088
Mailing address
2186 HARRIS AVE NE, STE 1, PALM BAY, FL 32905-4044
(321) 724-2020
(321) 724-9088

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 974
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
048031001
DMERC
FL
05
084742900
FL
01
19549
BLUE CROSS BLUE SHIELD
FL
01
4497605
AETNA PPO
FL
01
580098649
RAILROAD MEDICARE
FL
01
625580
AETNA HMO
FL
01
7147100
CIGNA
FL
Enumeration date
06/01/2005
Last updated
12/28/2007
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