Coleman, Calvin David

Coleman, Calvin David is an sole proprietor health care provider with primary practice located at 7207 N Nebraska Ave , Tampa FL 33604-4916. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Coleman, Calvin David can be contacted via phone (813) 236-1182.

Contact Information

Primary practice address
7207 N Nebraska Ave Tampa FL 33604-4916
Phone: (813) 236-1182
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1952821423
LBN Legal business name Coleman, Calvin David
Credentials COUNSELOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2017
Last updated Jul 21st, 2022 - about 3 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 1952821423 NPPES
Florida MEDICAID 101YA04000X

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