Individual
COLETTA M BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
842 SUNSET LAKE BLVD, SUITE 403, BUILDING B, VENICE, FL 34292-7551
(941) 485-3351
(941) 485-7677
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1153092
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP1153092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1224574
WELLCARE
FL
01
—
398532
AVMED
FL
01
—
48186
UNIVERSAL HEALTHCARE
FL
01
—
9029745
AETNA
FL
01
—
P00990542
RAILROAD MEDICARE
FL
01
—
P937853
OPTIMUM
FL
01
—
P997003
FREEDOM HEALTH
FL
Enumeration date
08/30/2011
Last updated
12/14/2016
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