Individual
KELLY ELIZABETH COFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
877 111TH AVE N STE 1, NAPLES, FL 34108-1853
(239) 594-8002
(877) 334-1886
Mailing address
3451 PINE RIDGE RD BLDG 1, NAPLES, FL 34109-3922
(239) 594-8002
(877) 334-1886
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9112910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZH46Y
BLUE CROSS FLORIDA
FL
Enumeration date
02/17/2020
Last updated
05/17/2023
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