Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | OS 11315 | FL |
NPI | 1386843530 |
---|---|
Provider Name | Jennifer Coby |
First Address | West Palm Beach, FL 33407-2387 |
Second Address | West Palm Beach, FL 33407-2387 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2007 |
Last Update Date | 09/10/2012 |