Coles Healthcare Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA9104805 Issued in FL

Legal business name

COLES HEALTHCARE SERVICES INC

Doing business as

Traditional Medicine Center

Practice address

3898 W Commercial Blvd
Tamarac, FL 33309-3326

Phone

(754) 444-8826

Fax

(954) 856-2921

NPI assigned

Nov 21, 2015

Last updated

Nov 21, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Donald Coles, PA-CNPI 1114128568

Title

President

Phone

(954) 593-5524

Specialties & licenses 1

Addresses

Other names 1

• TRADITIONAL MEDICINE CENTER Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Coles, D.O.M., A.P., PA-C

  • Physician Assistant
  • Miramar, FL
  • NPI 1114128568
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448064000000",
    "number": "1306210877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3898 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333093326",
            "telephone_number": "754-444-8826",
            "fax_number": "954-856-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333093326",
            "telephone_number": "754-444-8826",
            "fax_number": "954-856-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLES HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-21",
        "last_updated": "2015-11-21",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-593-5524",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "PA9104805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRADITIONAL MEDICINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra J Cohen
• Steven J Cohn, M. D.
• Sarah Ellen Cole, RN, SRNA
• Patrisa Yvette Coleman, BS
• Coles Healthcare Services Inc (Traditional Medicine Center)
• Juana Amalfi Coles, APRN
• Ania Collazo Garay
• Yuliett Collazo
• Amanda Leann Collier, PHARMD
• Colliers at Tamarac Opco, LLC

• Family Medicine Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.