MEDICARE: DR. BARBARA JANE COFFEY MD

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	2084P0800X	Psychiatry Physician	39773	MA
2	2084P0804X	Child & Adolescent Psychiatry Physician	39773	MA
3	2084P0800X	Psychiatry Physician	ME132722	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	039773	OTHER	MA	TUFTS HEALTH PLAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578536348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA JANE COFFEY MD

Provider Business Mailing Address
First Line	:	1120 NW 14TH ST STE 1455
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2107
Country	:	US
Telephone Number	:	305-355-7103
Fax Number	:	305-355-9012

Provider Business Practice Location Address
First Line	:	1120 NW 14TH ST STE 1455
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2107
Country	:	US
Telephone Number	:	305-355-7103
Fax Number	:	305-355-9012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	07/21/2022

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