Healthcare Provider Details

I. General information

NPI: 1073551545
Provider Name (Legal Business Name): ALICIA D COKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 SW 13TH ST STE 604
MIAMI FL
33130-4344
US

IV. Provider business mailing address

40 SW 13TH ST STE 604
MIAMI FL
33130-4344
US

V. Phone/Fax

Practice location:
  • Phone: 305-200-5851
  • Fax: 833-973-3549
Mailing address:
  • Phone: 305-200-5851
  • Fax: 833-973-3549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME83860
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberME83860
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: