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NPI Code Detail

MEDICARE: AUSTIN WM COLEMAN, DO, PA

MEDICARE: AUSTIN WM COLEMAN, DO, 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
1207W00000XOphthalmology PhysicianOS8806FL

Other Identifiers

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

General Provider Information

NPI Number : 1497797930
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUSTIN WM COLEMAN, DO, PA
Provider Business Mailing Address
First Line : 3880 TAMIAMI TRL N
Second Line :
City : NAPLES
State : FL
Zip : 34103-3504
Country : US
Telephone Number : 239-659-3937
Fax Number : 239-659-3952
Provider Business Practice Location Address
First Line : 3880 TAMIAMI TRL N
Second Line :
City : NAPLES
State : FL
Zip : 34103-3504
Country : US
Telephone Number : 239-659-3937
Fax Number : 239-659-3952
Authorized Official
Title or Position : OWNER
Name : AUSTIN W COLEMAN
Credential : DO
Telephone Number : 239-597-2792
Provider Enumeration Date : 06/11/2006
Last Update Date : 08/05/2024

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