| Dr Mark S Coican Pa | |
|
2179 Julian Ave Ne Suite 2 Palm Bay FL 32905-4042 | |
| (321) 723-8727 | |
| (321) 676-5756 |
| Full Name | Dr Mark S Coican Pa |
|---|---|
| Speciality | Dentist |
| Location | 2179 Julian Ave Ne, Palm Bay, Florida |
| Authorized Official Name and Position | Mark Steven Coican (OWNER) |
| Authorized Official Contact | 3217238727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark S Coican Pa 2179 Julian Ave Ne Suite 2 Palm Bay FL 32905-4042 Ph: (321) 723-8727 | Dr Mark S Coican Pa 2179 Julian Ave Ne Suite 2 Palm Bay FL 32905-4042 Ph: (321) 723-8727 |
| NPI Number | 1194943084 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194943084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN9032 (Florida) | Primary |
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