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Individual

HAL BROOKS COATS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(321) 397-6054
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9103900
FL
363AM0700X
Medical Physician Assistant
Primary
PA9103900
FL

Other

Enumeration date
04/11/2007
Last updated
06/29/2021
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