MEDICARE: PULIDO COATES AND ASSOCIATES LLC

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	101Y00000X	Counselor
2	101YP2500X	Professional Counselor
3	363L00000X	Nurse Practitioner	ARNP1570142	FL
4	101YM0800X	Mental Health Counselor

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00865875	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1518302231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULIDO COATES AND ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	4520 W OAKELLAR AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-3114
Country	:	US
Telephone Number	:	813-883-0162
Fax Number	:	888-850-1859

Provider Business Practice Location Address
First Line	:	3005 W EUCLID AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-8954
Country	:	US
Telephone Number	:	813-833-0162
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	BOBBY LLOYD COATES
Credential	:	LMHC, LMFT, LPC
Telephone Number	:	813-508-1859

Provider Enumeration Date	:	05/08/2013
Last Update Date	:	07/24/2024

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Directions to “PULIDO COATES AND ASSOCIATES LLC ” Practice Location

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