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NPI Code Detail

MEDICARE: MICHELLE G COLEMAN PT

MEDICARE: MICHELLE G COLEMAN PT
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
1225100000XPhysical Therapist10343FL

General Provider Information

NPI Number : 1649589409
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE G COLEMAN PT
Provider Business Mailing Address
First Line : 436 CALLIOPE ST
Second Line :
City : OCOEE
State : FL
Zip : 34761-4616
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5165 ADANSON ST
Second Line :
City : ORLANDO
State : FL
Zip : 32804-1331
Country : US
Telephone Number : 407-303-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2010
Last Update Date : 01/08/2020

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