Coleman, Charlyn A.

Coleman, Charlyn A. is an individual health care provider with primary practice located at 1871 Se Tiffany Ave Suite 200, Port St Lucie FL 34952-7585. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Coleman, Charlyn A. can be contacted via phone (772) 337-4000.

Contact Information

Primary practice address
1871 Se Tiffany Ave Suite 200 Port St Lucie FL 34952-7585
Phone: (772) 337-4000
Fax: (772) 335-4054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP1539232 Florida

Profile Details

NPI number 1447219480
LBN Legal business name Coleman, Charlyn A.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Dec 3rd, 2013 - about 13 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 1447219480 NPPES
Florida MEDICAID 033177500

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