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Contact Information

WILLIAM C COULTER, PA-C
12600 CREEKSIDE LN STE 6
FORT MYERS, FL33919
 Phone: 239-343-9219
 Fax: 239-343-9221
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for WILLIAM C COULTER · (Male)

NPI # 1376591065
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/04/2006
Last updated 08/17/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • KY License # PA436
  • KY Medicaid 95001442
  • KY Other 000000655589 ANTHEM BCBS
  • KY Other 000000667983 COOP HEALTH ANTHEM #
Hospital affiliation(s)
  • UNIVERSITY OF KENTUCKY HOSPITAL - (Acute Care)
    800 ROSE STREET
    LEXINGTON, KY 40536
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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