Individual
DEBRA MARTIN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
530 FONTAINE ST, PENSACOLA, FL 32503-2019
(850) 474-4775
(850) 484-8223
Mailing address
3501 MONTEIGNE DR, PENSACOLA, FL 32504-4536
(850) 603-0333
(850) 484-8223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
592-20524
BLUE CROSS BLUE SHIELD
AL
01
—
592-27570
BLUE CROSS BLUE SHIELD
AL
01
—
Y07YM
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/23/2006
Last updated
01/28/2016
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