Juan J Cobo, LMHC | |
4020 Nw 64th Pl, Gainesville, FL 32653-8372 | |
(954) 544-7401 | |
Not Available |
Full Name | Juan J Cobo |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4020 Nw 64th Pl, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295471431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | MH24626 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | MH24626 (Florida) | Primary |
Entity Name | Thriveworks Clinical - Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675 |
Mailing Address | Practice Location Address |
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Juan J Cobo, LMHC 4020 Nw 64th Pl, Gainesville, FL 32653-8372 Ph: (954) 544-7401 | Juan J Cobo, LMHC 4020 Nw 64th Pl, Gainesville, FL 32653-8372 Ph: (954) 544-7401 |
Roger Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 | |
Joseph Palmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 | |
Kelly Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5608 | |
Shannon Moser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5608 | |
Erica S Mosley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th Street, Gainesville, FL 32608 Phone: 352-374-5600 | |
Kyeesha Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5600 | |
Crystal Biggers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 |