Earl H Cobb Jr.
Individual provider Active NPI Developmentally Disabled Services Day Training Agency · Perry, FL
NPI 1760134514 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1760134514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Practice address
- 106 E Main St
Perry, FL 32347-2739 - Phone
- (850) 371-1865
- NPI assigned
- Jan 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Adult Training Center LLC | Day Training, Developmentally Disabled Services | Current |
Accepting new patients |
Locations
106 E Main St
Perry, FL 32347
Phone (850) 371-1865
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | FL | Yes |
Addresses
Primary practice location
106 E Main St
Perry, FL 32347-2739
Mailing address
106 E Main St
Perry, FL 32347-2739
Phone (850) 371-1865
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Perry |
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All providers in Perry, FL · Developmentally Disabled Services Day Training Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.