Individual
CORAL HENKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3919 TAMPA RD, OLDSMAR, FL 34677-3114
(727) 203-4339
Mailing address
1461 HUNTER LN, CLEARWATER, FL 33764-2404
(774) 573-1759
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9113202
FL
Other
Enumeration date
06/08/2021
Last updated
10/17/2025
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