Active NPI
Jose V Coba, MD
- General Practice Physician
- Lauderdale Lakes, FL
National Provider Identifier
1417907304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME90693
- Practice address
- 4800 N State Road 7
Suite F103
Lauderdale Lakes, FL 33319-5811 - Phone
- (954) 372-9440
- Fax
- (954) 513-4641
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME90693 | FL | Primary |
Addresses
Primary practice location
4800 N State Road 7
Suite F103
Lauderdale Lakes, FL 33319-5811
Mailing address
304 Indian Trce
Suite 191
Weston, FL 33326-2996
Phone (954) 372-9440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Class Medical Inc | Past | Accepting new patients | |
| Friends Testing Facility Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Miami, FL
- NPI 1376591669
-
- Clinic/Center
- Miami, FL
- NPI 1902138829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1417907304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 INDIAN TRCE",
"address_2": "SUITE 191",
"city": "WESTON",
"state": "FL",
"postal_code": "333262996",
"telephone_number": "954-372-9440",
"fax_number": "954-513-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 N STATE ROAD 7",
"address_2": "SUITE F103",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195811",
"telephone_number": "954-372-9440",
"fax_number": "954-513-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBA",
"first_name": "JOSE",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME90693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.