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Individual

COLEMAN SIMS PRATT II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5861 CORTEZ RD W, BRADENTON, FL 34210-2704
(941) 725-5969
Mailing address
5861 CORTEZ RD W, BRADENTON, FL 34210-2704
(941) 251-4612
(941) 251-6091

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P630117713400
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME94916
MEDICAL LICENSE
FL
Enumeration date
04/17/2007
Last updated
04/21/2016
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