person
Keith O Coker, PA
Medical Physician Assistant in Wauchula, Florida
NPI 1376511451

Keith O Coker is a Medical Physician Assistant based in Wauchula, FL and is specialized in Medical. Keith O Coker practices in Wauchula, FL and has the professional credentials of PA. The NPI Number for Keith O Coker is 1376511451 and holds a License No. PA2367 (Florida).

The current practice location address for Keith O Coker is 515 Carlton St, Wauchula, FL and can be reached out via phone at 863-773-6606 and via fax at 863-773-9542.

Location: 515 Carlton St, Wauchula, FL, 33873-3407
person
Provider Profile Details
NPI Number
1376511451
Provider Name
Keith O Coker
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
515 Carlton St, Wauchula, FL, 33873-3407
Phone Number
863-773-6606
Fax Number
863-773-9542
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
290003300 05 FL
P00003493 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
515 Carlton St
City
State
Zip
33873-3407
Phone Number
863-773-6606
Fax Number
863-773-9542
person
Provider Business Mailing Address Details
Address
515 Carlton St
City
State
Zip
33873-3407
Phone Number
863-773-6606
Fax Number
863-773-9542
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2367 (Florida)
Definition
Definition to come...
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