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NPI Code Detail

MEDICARE: PROGRESSIVE WOMENS HEALTH PA

MEDICARE: PROGRESSIVE WOMENS HEALTH PA
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
1207V00000XObstetrics & Gynecology PhysicianOS9063FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1IND NPI 1548268246OTHERDR. MICHAEL COYLE

General Provider Information

NPI Number : 1164419768
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROGRESSIVE WOMENS HEALTH PA
Provider Business Mailing Address
First Line : PO BOX 591
Second Line :
City : MILTON
State : FL
Zip : 32572-0591
Country : US
Telephone Number : 850-983-3528
Fax Number : 850-983-3546
Provider Business Practice Location Address
First Line : 6072 DOCTORS PARK
Second Line :
City : MILTON
State : FL
Zip : 32570-5072
Country : US
Telephone Number : 850-983-3528
Fax Number : 850-983-3546
Authorized Official
Title or Position : OWNER
Name : DR. MICHAEL COYLE
Credential : DO
Telephone Number : 850-983-3528
Provider Enumeration Date : 09/29/2005
Last Update Date : 08/29/2007

Similar Medicare Providers

1932899820 — JENNIFER SUZANNE PEARCY APRN, CNM/WHNP-BC
Practice Location Address:
6072 DOCTORS PARK
MILTON, FL
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Practice Fax:
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1578558490 — MR. HUBERT M MEREDITH MD
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Practice Location Address:
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Directions to “PROGRESSIVE WOMENS HEALTH PA ” Practice Location

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