Individual
MICAH COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-6111
Mailing address
1709 CHANDELIER CIR E, JACKSONVILLE, FL 32225-5553
(904) 910-0738
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11037036
FL
Other
Enumeration date
12/18/2024
Last updated
01/09/2025
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