COQUELET AND PUNGER FAMILY MEDICINE PA NPI 1134283138

NPI Information

NPI: 1134283138
Provider Name: COQUELET AND PUNGER FAMILY MEDICINE PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4640 S 25TH ST
FORT PIERCE, FL
ZIP 34981
Phone: (772) 466-8832
Get Directions

COQUELET AND PUNGER FAMILY MEDICINE PA is a family medicine in Fort Pierce, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COQUELET AND PUNGER FAMILY MEDICINE PA NPI is 1134283138. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4640 S 25TH ST
FORT PIERCE, FL
ZIP 34981-057
Phone: (772) 466-8832

The provider's authorized official is Denise S Dinocola .
The authorized official title is Practice Administrator and has the following contact phone number (772) 466-8884.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 3/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		OS6690	FLORIDA	No
2	207Q00000X	Family Medicine		ME68275	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	FLORIDA	TRICARE SOUTH
2	23089	OTHER	FLORIDA	SOUTHCARE-COVENTRY HEALTH
3	=========	OTHER	FLORIDA	USAA LIFE INSURANCE COMPA
4	=========	OTHER	FLORIDA	HUMANA
5	=========	OTHER	FLORIDA	PEARCE ADMINISTRATION
6	74659	OTHER	FLORIDA	BCBS OF FL
7	=========	OTHER	FLORIDA	BROADSPIRE
8	=========	OTHER	FLORIDA	EVOLUTIONS HEALTHCARE SYS
9	=========	OTHER	FLORIDA	TRICARE FOR LIFE
10	=========	OTHER	FLORIDA	UNICARE
11	74659	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
12	=========	OTHER	FLORIDA	STATE FARM
13	DD5441	OTHER	FLORIDA	RAILROAD MEDICARE
14	G00996	MEDICARE UPIN	FLORIDA
15	=========	OTHER	FLORIDA	BEECH STREET
16	=========	OTHER	FLORIDA	USIS
17	=========	OTHER	FLORIDA	WEBTPA
18	269585500	MEDICAID	FLORIDA
19	=========	OTHER	FLORIDA	SRI
20	F72698	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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