Individual
RICHARD COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
801 DOUGLAS AVE STE 208, ALTAMONTE SPG, FL 32714-5206
(407) 830-6412
Mailing address
1600 66TH AVE S, ST PETERSBURG, FL 33712-5949
(727) 479-3082
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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