Individual
RAQUEL COBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9314 LAKE FISCHER BLVD, GOTHA, FL 34734-5203
(407) 294-3872
Mailing address
9314 LAKE FISCHER BLVD, GOTHA, FL 34734-5203
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
251B00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692707696
—
FL
05
—
692707698
—
FL
Enumeration date
08/03/2012
Last updated
08/03/2012
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