Female

Coley L. Westerberg PA-C

Medical Physician Assistant in St Petersburg, FL(View on Map)

Full Name

Coley Lauren Westerberg PA-C

NPI Number

1366726994

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/30/2011

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9106166

Contact
Information

Purpose

Mailing
Location

Address

8540 42ND AVE N
1033 MARTIN LUTHER KING STREET NORTH

City

St Petersburg
St Petersburg

State

FL
FL

Postal Code

33709-3951
33701

Country

US
US

Telephone Number

(727) 215-9295
(727) 215-9295

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/30/2011

Provider Address

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