Organization Active NPI

Cora Health Services, Inc

  • Athletic Trainer
  • Lake Placid, FL
National Provider Identifier
1831234350
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL 1131 Issued in FL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.