| Terry Daniel Kober, PA-C | |
|
11260 Sullivan St, Riverview, FL 33578-2140 | |
| (813) 689-7571 | |
| (813) 654-8129 |
| Full Name | Terry Daniel Kober |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 11260 Sullivan St, Riverview, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720335904 | NPI | - | NPPES |
| K099660 | Other | KY | MEDICARE PTAN |
| PA9105264 | Other | FL | STATE LICENSE |
| 013091300 | Medicaid | FL | |
| 1440 | Other | KY | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1440 (Kentucky) | Secondary |
| 363A00000X | Physician Assistant | PA9105264 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Daniel Kober, PA-C 900 S Pine Island Rd, Suite 800, Plantation, FL 33324-3920 Ph: (813) 689-7571 | Terry Daniel Kober, PA-C 11260 Sullivan St, Riverview, FL 33578-2140 Ph: (813) 689-7571 |
Ms. Melissa Marie Clinton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6901 Simmons Loop, Riverview, FL 33578 Phone: 813-302-8070 Fax: 813-972-5055 | |
Haley Nichole Rieder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6901 Simmons Loop, Riverview, FL 33578 Phone: 813-302-8000 | |
Otgontungalag Sainbayar, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11813 Twilight Darner Pl, Riverview, FL 33569 Phone: 407-401-0152 | |
Christ Gao, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13015 Summerfield Square Dr, Riverview, FL 33578 Phone: 813-879-8045 | |
Kyle Harden, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 13127 Vail Ridge Dr, Riverview, FL 33579 Phone: 813-661-6199 | |
Mr. Gary Donald Woodiwiss, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13403 Boyette Rd, Riverview, FL 33569 Phone: 813-654-1775 Fax: 813-651-9082 | |
Schenell Thompson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9930 Jonas Salk Dr Apt 410, Riverview, FL 33578 Phone: 817-658-3872 |