Coffey, Brandon Lucas

Coffey, Brandon Lucas is an individual health care provider with primary practice located at 12432 Davie Ct , Venice FL 34293-5789. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Coffey, Brandon Lucas can be contacted via phone (423) 215-1485.

Contact Information

Primary practice address
12432 Davie Ct Venice FL 34293-5789
Phone: (423) 215-1485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2651 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2651 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS16524 Florida

Profile Details

NPI number 1134493588
LBN Legal business name Coffey, Brandon Lucas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2012
Last updated Oct 30th, 2020 - about 6 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 1134493588 NPPES
Florida MEDICAID 105941700
Florida Other M1092

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