Individual
COURTNEY DANIELLE COBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 W PLYMOUTH AVE, DELAND, FL 32720-3260
(386) 738-0322
Mailing address
4316 HAWKS NEST DR, LUTZ, FL 33558-2754
(813) 784-5844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109775
FL
Other
Enumeration date
10/19/2016
Last updated
03/15/2019
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