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Individual

ANGEL COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2501 NE 53RD TER LOT 122, GAINESVILLE, FL 32609-2624
(352) 316-9232
Mailing address
7325 NW 13TH BLVD, GAINESVILLE, FL 32653-1252
(352) 316-9232

Taxonomy

Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
374U00000X
Home Health Aide
FL
376K00000X
Nurse's Aide

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011683200
FL
05
011683201
FL
Enumeration date
07/25/2014
Last updated
03/08/2018
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