Cobb, Charles Gary

Cobb, Charles Gary is an individual health care provider with primary practice located at 710 Lomax St , Jacksonville FL 32204-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cobb, Charles Gary can be contacted via phone (904) 355-6583.

Contact Information

Primary practice address
710 Lomax St Jacksonville FL 32204-4004
Phone: (904) 355-6583
Fax: (904) 355-4922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME 80499 Florida

Profile Details

NPI number 1083752000
LBN Legal business name Cobb, Charles Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated May 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083752000 NPPES
Florida MEDICAID 259941400

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