Marlo Amber Cobb
Physician Assistant in Tamarac, FL. Individual provider (NPI-1).
NPI number1780935858
StatusActive
Last updated in NPPESSep 28, 2012
Details
- NPI
- 1780935858
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marlo Amber Cobb
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2012
- Last updated
- Sep 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9106879 | FL | Yes |
Practice location
7171 N University DrSuite 100
Tamarac, FL 33321-2902
Phone 954-722-9993
Mailing address
7171 N University DrSuite 100
Tamarac, FL 33321-2902
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