Individual
MARIEL COFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
1050 CRYSTAL WAY APT O, DELRAY BEACH, FL 33444-1012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1646054
CO
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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