Provider Demographics
NPI:1194810580
Name:COATS, MARION LEE (MD)
Entity type:Individual
Prefix:DR
First Name:MARION
Middle Name:LEE
Last Name:COATS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1219 S EAST AVE
Mailing Address - Street 2:STE 210
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2340
Mailing Address - Country:US
Mailing Address - Phone:941-952-0703
Mailing Address - Fax:941-955-6667
Practice Address - Street 1:1219 S EAST AVE
Practice Address - Street 2:STE 210
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2340
Practice Address - Country:US
Practice Address - Phone:941-952-0703
Practice Address - Fax:941-955-6667
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME59896207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL059839900Medicaid
FL12723Medicare ID - Type Unspecified
FL059839900Medicaid