Coe, Channing B.

Coe, Channing B. is an sole proprietor health care provider with primary practice located at 1625 Se 3Rd Ave Suite 701, Fort Lauderdale FL 33316-2521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Coe, Channing B. can be contacted via phone (954) 467-2013.

Contact Information

Primary practice address
1625 Se 3Rd Ave Suite 701 Fort Lauderdale FL 33316-2521
Phone: (954) 467-2013
Fax: (954) 355-4390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME82390 Florida

Profile Details

NPI number 1780689349
LBN Legal business name Coe, Channing B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated May 15th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780689349 NPPES
Florida MEDICAID 265511000

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