Individual
DR. JAMES WEBB COLE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 DRAGONFLY DR, TITUSVILLE, FL 32780-2584
(772) 971-3829
Mailing address
101 DRAGONFLY DR, TITUSVILLE, FL 32780-2584
(772) 971-3829
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 55085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062071800
MEDICAID PROVIDER NUMBER
FL
Enumeration date
01/20/2007
Last updated
04/14/2015
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