Individual
GREGORY COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 REDSTONE AVE W, SUITE 470, CRESTVIEW, FL 32536-6428
(850) 689-2229
(850) 689-2580
Mailing address
550 REDSTONE AVE W, SUITE 470, CRESTVIEW, FL 32536-6428
(850) 689-2229
(850) 689-2580
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME110266
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50981
—
LA
Enumeration date
05/25/2007
Last updated
09/08/2020
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