Individual
CORY COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14164 US HIGHWAY 90, SANDERSON, FL 32087-2356
(904) 535-9302
(904) 397-2699
Mailing address
14164 US HIGHWAY 90, SANDERSON, FL 32087-2356
(904) 535-9302
(904) 397-2699
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6907127
FL
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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