MEDICARE: DR. KIMBERLEE A COLEMAN 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
1	207V00000X	Obstetrics & Gynecology Physician	0057591	GA
2	207V00000X	Obstetrics & Gynecology Physician	ME146906	FL
3	207V00000X	Obstetrics & Gynecology Physician	N4358	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1700837044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLEE A COLEMAN MD

Provider Business Mailing Address
First Line	:	2625 NE 14TH AVE APT 100
Second Line	:
City	:	WILTON MANORS
State	:	FL
Zip	:	33334-4395
Country	:	US
Telephone Number	:	512-809-3365
Fax Number	:

Provider Business Practice Location Address
First Line	:	2625 NE 14TH AVE APT 100
Second Line	:
City	:	WILTON MANORS
State	:	FL
Zip	:	33334-4395
Country	:	US
Telephone Number	:	512-809-3365
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	12/28/2025

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Directions to “ DR. KIMBERLEE A COLEMAN MD” Practice Location

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