Provider Demographics
NPI:1053594366
Name:COBB, MELINDA ANN (PA)
Entity type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:ANN
Last Name:COBB
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Gender:F
Credentials:PA
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Mailing Address - Street 1:6619 N WICKHAM RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-2006
Mailing Address - Country:US
Mailing Address - Phone:321-259-9500
Mailing Address - Fax:321-253-1777
Practice Address - Street 1:6619 N WICKHAM RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-2006
Practice Address - Country:US
Practice Address - Phone:321-259-9500
Practice Address - Fax:321-253-1777
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2024-04-25
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Provider Licenses
StateLicense IDTaxonomies
FLPA9104346363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant