Individual
BROOKLYN NICOLE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 KINGS PALACE DR, RIVERVIEW, FL 33578-2131
(813) 724-8942
Mailing address
2115 KINGS PALACE DR, RIVERVIEW, FL 33578-2131
(813) 724-8942
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11034996
FL
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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