Organization
DR JAMES W COBB, JR, PA
Active
Other names
Brevard Vision Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W COBB JR. O.D. (PRESIDENT)
(321) 724-2020
Entity
Organization
Contact information
Practice address
2186 HARRIS AVE NE, SUITE 1, PALM BAY, FL 32905-4044
(321) 724-2020
(321) 724-9088
Mailing address
2186 HARRIS AVE NE, SUITE 1, PALM BAY, FL 32905-4044
(321) 724-2020
(321) 724-9088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34850
BLUE CROSS BLUE SHIELD
FL
05
—
620505400
—
FL
Enumeration date
01/05/2007
Last updated
01/04/2008
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