Active NPI
Cora Health Services, Inc
- Athletic Trainer
- Lake Placid, FL
National Provider Identifier
1831234350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL 1131
- Legal business name
- CORA HEALTH SERVICES, INC
- Practice address
- 204 US 27 S
Lake Placid, FL 33852-7900 - Phone
- (863) 465-9500
- Fax
- (863) 465-9542
- NPI assigned
- Feb 21, 2007
- Last updated
- Aug 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Timothy Bobo, ATC
- Title
- Athletic Trainer
- Phone
- (863) 465-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL 1131 | FL | Primary |
Addresses
Primary practice location
204 US 27 S
Lake Placid, FL 33852-7900
Mailing address
108 Forever Ave
Lake Placid, FL 33852-8729
Phone (863) 465-9500
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218153600000",
"number": "1831234350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 FOREVER AVE",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338528729",
"telephone_number": "863-465-9500",
"fax_number": "863-465-9542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 US 27 S",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338527900",
"telephone_number": "863-465-9500",
"fax_number": "863-465-9542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORA HEALTH SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2008-08-08",
"status": "A",
"authorized_official_last_name": "BOBO",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "TIMOTHY",
"authorized_official_title_or_position": "ATHLETIC TRAINER",
"authorized_official_telephone_number": "863-465-9500",
"authorized_official_credential": "ATC"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 1131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.