Provider Demographics
NPI:1245529551
Name:COBER, MESHACH P (MD)
Entity type:Individual
Prefix:
First Name:MESHACH
Middle Name:P
Last Name:COBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 W INDIANTOWN RD STE 212
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7535
Mailing Address - Country:US
Mailing Address - Phone:561-247-4575
Mailing Address - Fax:
Practice Address - Street 1:658 W INDIANTOWN RD STE 212
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7535
Practice Address - Country:US
Practice Address - Phone:561-247-4575
Practice Address - Fax:561-747-9633
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME135166208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL119833000Medicaid
DEC1-0011785OtherDELAWARE