Coley, Paul Andrew

Coley, Paul Andrew is an individual health care provider with primary practice located at 3627 University Blvd S Ste 300 , Jacksonville FL 32216. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Coley, Paul Andrew can be contacted via phone (904) 396-0300.

Contact Information

Primary practice address
3627 University Blvd S Ste 300 Jacksonville FL 32216
Phone: (904) 396-0300
Fax: (904) 396-3039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME24172 Florida
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME24172 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME24172 Florida

Profile Details

NPI number 1962468892
LBN Legal business name Coley, Paul Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Aug 20th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962468892 NPPES
Florida Other 40079 AVMED
Florida Other GR172A AVMED
Florida Other 0098365-00 AVMED
Florida Other 407111035 AVMED
Florida Other 15339 AVMED
Florida MEDICAID 052627400 AVMED
Florida Other 15339Y AVMED
Florida Other 146184 AVMED

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