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NPI Code Detail

MEDICARE: ELISE COAN

MEDICARE: ELISE COAN
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
12355S0801XSpeech-Language Assistant3806FL

General Provider Information

NPI Number : 1528845617
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISE COAN
Provider Business Mailing Address
First Line : 73 WOODLAWN DR
Second Line :
City : PALM COAST
State : FL
Zip : 32164-7915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4 OFFICE PARK DR STE 4
Second Line :
City : PALM COAST
State : FL
Zip : 32137-3831
Country : US
Telephone Number : 386-446-9935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2023
Last Update Date : 09/12/2023

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Directions to “ ELISE COAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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