Provider Demographics
NPI:1457471666
Name:COELHO, ANA LUIZA (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:LUIZA
Last Name:COELHO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 HELEN AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-3833
Mailing Address - Country:US
Mailing Address - Phone:407-992-0997
Mailing Address - Fax:804-239-1953
Practice Address - Street 1:7001 LAKE ELLENOR DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-5792
Practice Address - Country:US
Practice Address - Phone:407-992-0997
Practice Address - Fax:804-239-1953
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME47451207ZC0500X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology