Individual
ALEXANDER CHISOLM COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 GULF BREEZE PKWY, SUITE 200, GULF BREEZE, FL 32561-7809
(850) 916-3700
(850) 916-3710
Mailing address
1040 GULF BREEZE PKWY, SUITE 200, GULF BREEZE, FL 32561-7809
(850) 916-3700
(850) 916-3710
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME113317
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006377300
—
FL
05
—
141061
—
AL
01
—
14LU9
BLUE CROSS BLUE SHIELD
FL
01
—
592-17944
BLUE CROSS BLUE SHIELD
AL
01
—
592-18009
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/15/2007
Last updated
12/10/2012
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