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Individual

MELINDA L COFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
6000 49TH ST N, SAINT PETERSBURG, FL 33709-2114
(727) 521-5423
Mailing address
6000 49TH ST N, SAINT PETERSBURG, FL 33709-2114
(727) 521-5423

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ATP-000349
AR
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP 9359717
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A03530
ARSBN
AR
01
ARNP 9359717
STATE OF FL DEPARTMENT OF HEALTH DIVISI MEDICAL QUALITY ASSURANCE ARNP
FL
Enumeration date
03/08/2011
Last updated
02/01/2022
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