Coquelet And Punger Family Medicine Pa
LBN: Coquelet And Punger Family Medicine Pa
Coquelet And Punger Family Medicine Pa is an health care organization with primary practice located at 4640 S 25Th St , Fort Pierce FL 34981-5057. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Coquelet And Punger Family Medicine Pa can be contacted via phone (772) 466-8832, or through Dinocola, Denise S via phone (772) 466-8884.
Contact Information
Primary practice address
4640 S 25Th St
Fort Pierce FL 34981-5057
Phone: (772) 466-8832
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME68275 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS6690 | Florida |
Profile Details
| NPI number | 1134283138 |
|---|---|
| LBN Legal business name | Coquelet And Punger Family Medicine Pa |
| DBA Doing business as | |
| Authorized official | Dinocola, Denise S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Mar 17th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134283138 | NPPES |
| Florida | MEDICAID | 269585500 | |
| Florida | Other | 74659 | |
| Florida | Other | DD5441 | |
| Florida | Other | 23089 |
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