Individual provider · NPI-1
Michael Coyne
In Home Supportive Care · Crestview, FL
NPI number1134883184
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1134883184
- Entity type
- Individual (NPI-1)
- Name
- Michael Coyne
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2021
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
5186 Whitehurst LnCrestview, FL 32536-2205
Phone 850-586-1322
Mailing address
5186 Whitehurst LnCrestview, FL 32536-2205
Phone 850-586-1322
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