Coffey, Larissa
Coffey, Larissa is an individual health care provider with primary practice located at 1101 Gulf Breeze Pkwy , Gulf Breeze FL 32561-4862. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Coffey, Larissa can be contacted via phone (850) 565-5272.Contact Information
Primary practice address
1101 Gulf Breeze Pkwy
Gulf Breeze FL 32561-4862
Phone: (850) 565-5272
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9246808 | Florida |
Profile Details
| NPI number | 1457775090 |
|---|---|
| LBN Legal business name | Coffey, Larissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2014 |
| Last updated | Feb 19th, 2021 - about 4 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 | 1457775090 | NPPES |
| Florida | Other | ARNP9246808 | ARNP |
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