Coakley, Canaan Diane
Coakley, Canaan Diane is an sole proprietor health care provider with primary practice located at 5560 Estabrook Woods Dr Apt 202 , Orlando FL 32839-6111. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Coakley, Canaan Diane can be contacted via phone (321) 351-6417.Contact Information
Primary practice address
5560 Estabrook Woods Dr Apt 202
Orlando FL 32839-6111
Phone: (321) 351-6417
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Technician/Technologist | 156F00000X | Florida |
Profile Details
| NPI number | 1427701283 |
|---|---|
| LBN Legal business name | Coakley, Canaan Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2022 |
| Last updated | Feb 1st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427701283 | NPPES |
| Florida | MEDICAID | 87-4699754 |
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