Individual
DR. PAUL ANDREW COLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3627 UNIVERSITY BLVD S STE 300, JACKSONVILLE, FL 32216
(904) 396-0300
(904) 396-3039
Mailing address
1361 13TH AVE S STE 245, JACKSONVILLE BEACH, FL 32250-3238
(904) 396-0300
(904) 396-3039
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME24172
FL
207RI0200X
Infectious Disease Physician
ME24172
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME24172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098365-00
FL MEDICAID - GROUP
FL
05
—
052627400
—
FL
01
—
146184
WELLCARE
FL
01
—
15339
FL BLUE
FL
01
—
15339Y
MEDICARE - INDIVIDUAL
FL
01
—
40079
AVMED
FL
01
—
407111035
RR MEDICARE
FL
01
—
GR172A
MEDICARE - GROUP
FL
Enumeration date
04/20/2006
Last updated
05/21/2025
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