Healthcare Provider Details

I. General information

NPI: 1316929771
Provider Name (Legal Business Name): WILLIAM J COLE JR. D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4071 BEE RIDGE RD SUITE 101
SARASOTA FL
34233-2550
US

IV. Provider business mailing address

4071 BEE RIDGE RD SUITE 101
SARASOTA FL
34233-2550
US

V. Phone/Fax

Practice location:
  • Phone: 941-371-7171
  • Fax: 941-371-7474
Mailing address:
  • Phone: 941-371-7171
  • Fax: 941-371-7474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberOS8697
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: