Provider Demographics
NPI:1770887978
Name:COCIOBA, RARES ION (DO, MD)
Entity type:Individual
Prefix:
First Name:RARES
Middle Name:ION
Last Name:COCIOBA
Suffix:
Gender:M
Credentials:DO, MD
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19254 MEADOW PINE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3615
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:703 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-6615
Practice Address - Country:US
Practice Address - Phone:277-734-4000
Practice Address - Fax:277-738-5037
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY259837204D00000X, 207Q00000X, 208D00000X
VA0102205588207Q00000X
WV3461207Q00000X
FLOS18288207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113033800Medicaid