Angela Koby in Jacksonville - Physician Assistant
Angela Koby - NPI 1740257666
Angela Koby is a Physician Assistant in Jacksonville, Florida. Angela Koby practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Angela Koby is 1740257666. The last update date is 2021-03-26.
Angela Koby's current location address is 1325 San Marco Blvd Ste 200, Jacksonville, Florida. You can contact this provider via phone number 9043463465 and fax number 9048586489. The mailing address for Angela Koby is 1325 San Marco Blvd Ste 200, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Koby |
|---|---|
| Address | 1325 San Marco Blvd Ste 200, Jacksonville, Florida |
| Phone Number | 9043463465 |
| Fax Number | 9048586489 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1740257666 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2021-03-26 |
Provider Mailing Address Detail
| Address | 1325 San Marco Blvd Ste 200 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078566 |
| Phone Number | 9043463465 |
| Fax Number | 9048586489 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9104545 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 253100 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Angela Koby by the Centers for Medicare & Medicaid Services (CMS)?
The Angela Koby has been assigned the NPI (National Provider Identifier) 1740257666. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Angela Koby?
The Angela Koby is situated at 1325 San Marco Blvd Ste 200, in the city of Jacksonville, state of FL, with the zip code 322078566.
What is Angela Koby's specialized field of practice, and what is the corresponding taxonomy classification code?
The Angela Koby's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When was the Angela Koby's 1740257666 issued?
The Angela Koby's 1740257666 was issued on 2006-03-01.
As of what date were the details related to Angela Koby most recently updated or revised?
The information pertaining to Angela Koby, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-26.