Individual
CAMERON COGHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1303 N TAMIAMI TRL, SARASOTA, FL 34236-2432
(941) 953-6949
(941) 954-5827
Mailing address
5050 CENTRAL SARASOTA PKWY APT 305, SARASOTA, FL 34238-7604
(941) 250-5559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT23578
LICENSE
FL
Enumeration date
11/21/2007
Last updated
09/02/2020
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