Individual
COURTNEY COAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 MIAMI AVE W, VENICE, FL 34285-2361
(765) 586-4574
Mailing address
5380 GREENBROOK DR, SARASOTA, FL 34238-2707
(765) 586-4574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119741
FL
Other
Enumeration date
01/16/2025
Last updated
05/14/2025
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