Provider Demographics
NPI:1073551545
Name:COKER, ALICIA D (MD)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:D
Last Name:COKER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 SW 13TH ST STE 604
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-4344
Mailing Address - Country:US
Mailing Address - Phone:305-200-5851
Mailing Address - Fax:833-973-3549
Practice Address - Street 1:40 SW 13TH ST STE 604
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-4344
Practice Address - Country:US
Practice Address - Phone:305-200-5851
Practice Address - Fax:833-973-3549
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83860207Q00000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI01959Medicare UPIN
FL81662Medicare ID - Type Unspecified