Organization
MICHAEL A, COFFEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL COFFEY MD (PRESIDENT)
(941) 766-4777
Entity
Organization
Contact information
Practice address
2400 HARBOR BLVD, SUITE 14, PORT CHARLOTTE, FL 33952-5052
(941) 766-4777
(941) 766-4778
Mailing address
2400 HARBOR BLVD, SUITE 14, PORT CHARLOTTE, FL 33952-5052
(941) 766-4777
(941) 766-4778
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0052053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257805100
—
FL
Enumeration date
09/18/2009
Last updated
09/18/2009
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