Individual
JEFFREY A KOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
4203 BELFORT RD STE 345, JACKSONVILLE, FL 32216-1469
(904) 450-6461
(904) 450-6469
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
834
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001712511
BLUE CROSS
WV
05
—
2930625-00
—
FL
05
—
3810000999
—
WV
01
—
550691297
SELECT NET
WV
05
—
636453934A
—
GA
Enumeration date
01/25/2006
Last updated
03/23/2018
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