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Individual

DR. CHANNING B. COE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1625 SE 3RD AVE, SUITE 701, FORT LAUDERDALE, FL 33316-2521
(954) 467-2013
(954) 355-4390
Mailing address
1625 SE 3RD AVE, SUITE 701, FORT LAUDERDALE, FL 33316-2521
(954) 467-2013
(954) 355-4390

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME82390
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265511000
FL
Enumeration date
06/20/2005
Last updated
05/15/2012
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