Individual
DR. EDWARD AUGUSTUS COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, ED.D
Contact information
Practice address
6313 CLARK LAKE DRIVE, TRINITY, FL 34655-6014
(727) 645-6604
Mailing address
6313 CLARK LAKE DR, TRINITY, FL 34655
(727) 645-6604
(401) 277-3366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ISW01446
RI
1041C0700X
Clinical Social Worker
Primary
SW6688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050258858
PACIFICARE-GROUP
RI
01
—
1021740
NHP/BEACON GROUP
RI
01
—
12397075
MULTIPLAN
RI
01
—
31157-3
BLUE SHIELD
RI
01
—
413245
BLUE CHIP
RI
01
—
526273
VALUE OPTIONS
RI
01
—
62-35076
UNITED BEHAVIORAL HEALTH
RI
01
—
8274442000
MAGELLAN
RI
05
—
EC59037
—
RI
Enumeration date
08/04/2006
Last updated
05/19/2011
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