Individual
GAIL COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 E OSBORNE AVE, TAMPA, FL 33603-4019
(813) 239-3322
Mailing address
811 E OSBORNE AVE, TAMPA, FL 33603-4019
(813) 239-3322
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140307900
—
FL
Enumeration date
12/31/2013
Last updated
12/31/2013
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