| Robert Coleman Psyd Llc | |
|
11200 Seminole Blvd Ste 101 Largo FL 33778-3240 | |
| (727) 272-0097 | |
| Not Available |
| Full Name | Robert Coleman Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11200 Seminole Blvd Ste 101, Largo, Florida |
| Authorized Official Name and Position | Robert M Coleman (OWNER) |
| Authorized Official Contact | 7272720097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Coleman Psyd Llc 11200 Seminole Blvd Ste 101 Largo FL 33778-3240 Ph: (727) 272-0097 | Robert Coleman Psyd Llc 11200 Seminole Blvd Ste 101 Largo FL 33778-3240 Ph: (727) 272-0097 |
| NPI Number | 1295097368 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Medicare PECOS PAC ID | 0547425886 |
|---|---|
| Medicare Enrollment ID | O20120711000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295097368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY8157 (Florida) | Primary |
| Provider Name | Robert M Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770670192 PECOS PAC ID: 9234324401 Enrollment ID: I20101112001043 |
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