Individual
ERIC EUGENE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
141 WEBB DRIVE, SUITE 300, DAVENPORT, FL 33837
(863) 422-0020
(863) 422-0021
Mailing address
141 WEBB DRIVE, SUITE 300, DAVENPORT, FL 33837
(863) 422-0020
(863) 422-0021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3789
AZ
363AM0700X
Medical Physician Assistant
3789
AZ
Other
Enumeration date
04/22/2006
Last updated
07/28/2023
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