Organization
CARMEN A COISCOU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN A COISCOU MD (OWNER)
(941) 782-2100
Entity
Organization
Contact information
Practice address
8330 LAKEWOOD RANCH BLVD, SUITE 320, BRADENTON, FL 34202-5174
(941) 782-2100
(941) 706-2107
Mailing address
8330 LAKEWOOD RANCH BLVD, SUITE 320, BRADENTON, FL 34202-5174
(941) 782-2100
(941) 706-2107
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME94475
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277343100
—
FL
Enumeration date
10/11/2008
Last updated
10/11/2008
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