| Randall D Cobb, ARNP | |
|
12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | |
| (813) 977-8700 | |
| (813) 971-2029 |
| Full Name | Randall D Cobb |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 12512 Bruce B Downs Blvd, Tampa, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750314605 | NPI | - | NPPES |
| 768605600 | Medicaid | FL | |
| Y015T | Other | FL | BC/BS FLORIDA BLUE |
| P01624084 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ARNP 2900442 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| David Lawrence Mental Health Center, Inc | 0547257313 | 28 |
| Entity Name | Florida Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962 |
| Entity Name | David Lawrence Mental Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801891940 PECOS PAC ID: 0547257313 Enrollment ID: O20040426001435 |
| Entity Name | Northside Behavioral Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669498002 PECOS PAC ID: 9931187911 Enrollment ID: O20040708000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall D Cobb, ARNP 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 Ph: (813) 977-8700 | Randall D Cobb, ARNP 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 Ph: (813) 977-8700 |
Charmaine Henry, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808 | |
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000 | |
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511 | |
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230 | |
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401 | |
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631 |