# MICHAEL A, COFFEY MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215260534
- **Authorized official:** MR. MICHAEL COFFEY MD (PRESIDENT)
- **Authorized official phone:** (941) 766-4777

## Contact information

- **Practice address:** 2400 HARBOR BLVD, SUITE 14, PORT CHARLOTTE, FL 33952-5052
- **Practice address phone:** (941) 766-4777
- **Practice address fax:** (941) 766-4778
- **Mailing address:** 2400 HARBOR BLVD, SUITE 14, PORT CHARLOTTE, FL 33952-5052
- **Mailing address phone:** (941) 766-4777
- **Mailing address fax:** (941) 766-4778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME0052053 | FL | Yes |

## Other

- **Enumeration date:** 09/18/2009
- **Last updated:** 09/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 257805100 | — | FL |