Individual
ANGELA KOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1325 SAN MARCO BLVD STE 200, JACKSONVILLE, FL 32207-8566
(904) 346-3465
(904) 396-0388
Mailing address
1325 SAN MARCO BLVD STE 200, JACKSONVILLE, FL 32207-8566
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000253100
—
FL
Enumeration date
03/01/2006
Last updated
03/26/2021
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