Organization
CORA HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD TIMOTHY BOBO ATC (ATHLETIC TRAINER)
(863) 465-9500
Entity
Organization
Contact information
Practice address
204 US 27 S, LAKE PLACID, FL 33852-7900
(863) 465-9500
(863) 465-9542
Mailing address
108 FOREVER AVE, LAKE PLACID, FL 33852-8729
(863) 465-9500
(863) 465-9542
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1131
FL
Other
Enumeration date
02/21/2007
Last updated
08/08/2008
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