Organization
COLEEN L DOOLEY ARNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLEEN L DOOLEY ARNP (DIRECTOR/SOLE PROVIDER)
(305) 745-3768
Entity
Organization
Contact information
Practice address
2409 N ROOSEVELT BLVD, SUITE 6, KEY WEST, FL 33040-3837
(305) 745-8215
Mailing address
PO BOX 420346, SUMMERLAND KEY, FL 33042-0346
(305) 745-8215
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
ARNP 624842
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
ARNP 624842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034293900
—
FL
01
—
1659496958
NPI TYPE 2
FL
01
—
1972660082
NPI TYPE 1
—
01
—
Y3409
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/27/2010
Last updated
10/27/2010
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