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NPI Code Detail

MEDICARE: DR. TOMMY MILLS COFFMAN MD

MEDICARE:  DR. TOMMY MILLS COFFMAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianME23499FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033176425
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TOMMY MILLS COFFMAN MD
Provider Business Mailing Address
First Line : 2889 10TH AVE N
Second Line : STE 306
City : PALM SPRINGS
State : FL
Zip : 33461-3045
Country : US
Telephone Number : 561-227-3101
Fax Number : 561-227-3182
Provider Business Practice Location Address
First Line : 2889 10TH AVE N
Second Line : STE 306
City : PALM SPRINGS
State : FL
Zip : 33461-3045
Country : US
Telephone Number : 561-227-3101
Fax Number : 561-227-3182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 03/10/2016

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Directions to “ DR. TOMMY MILLS COFFMAN MD” Practice Location

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