Koby, Jeffrey A

Koby, Jeffrey A is an individual health care provider with primary practice located at 4203 Belfort Rd Ste 345 , Jacksonville FL 32216-1469. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Koby, Jeffrey A can be contacted via phone (904) 450-6461.

Contact Information

Primary practice address
4203 Belfort Rd Ste 345 Jacksonville FL 32216-1469
Phone: (904) 450-6461
Fax: (904) 450-6469
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 834 West Virginia

Profile Details

NPI number 1871563528
LBN Legal business name Koby, Jeffrey A
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 23rd, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871563528 NPPES
West Virginia Other 550691297 SELECT NET
West Virginia Other 550691297 SELECT NET
West Virginia Other 550691297 SELECT NET
West Virginia MEDICAID 636453934A SELECT NET
West Virginia Other 001712511 SELECT NET
West Virginia MEDICAID 3810000999 SELECT NET
West Virginia MEDICAID 2930625-00 SELECT NET

Popular Providers