Provider Demographics
NPI:1568691319
Name:KOBUKE, FLORENTINA K
Entity Type:Individual
Prefix:MS
First Name:FLORENTINA
Middle Name:K
Last Name:KOBUKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921084 PALAHIA STREET
Mailing Address - Street 2:APT K104
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707
Mailing Address - Country:US
Mailing Address - Phone:808-389-9763
Mailing Address - Fax:
Practice Address - Street 1:92-1084 PALAHIA ST
Practice Address - Street 2:APT K104
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-3750
Practice Address - Country:US
Practice Address - Phone:808-389-9763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health