Individual
KEVIN MICHAEL COFRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1838 MCINTOSH PL, JACKSONVILLE, FL 32210-2224
(904) 388-5416
Mailing address
1838 MCINTOSH PL, JACKSONVILLE, FL 32210-2224
(904) 388-5416
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3210
FL
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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