Coleman, Michael K

Coleman, Michael K is an sole proprietor health care provider with primary practice located at 1839 Central Ave. , St Petersburg FL 33713-8900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Coleman, Michael K can be contacted via phone (727) 322-1054.

Contact Information

Primary practice address
1839 Central Ave. St Petersburg FL 33713-8900
Phone: (727) 322-1054
Fax: (727) 821-7213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME72963 Florida

Profile Details

NPI number 1164590428
LBN Legal business name Coleman, Michael K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2006
Last updated Dec 6th, 2023 - 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 1164590428 NPPES
Florida MEDICAID 001051700

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