Individual
BILLY COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
891 PRINCETON DR, CLERMONT, FL 34711-6757
(407) 227-6984
Mailing address
891 PRINCETON DR, CLERMONT, FL 34711-6757
(407) 227-6984
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
94979
FL
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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