Provider Demographics
NPI:1891022430
Name:COGGINS, MICHAEL WAYNE (RPA, RRA)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:WAYNE
Last Name:COGGINS
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Gender:M
Credentials:RPA, RRA
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Mailing Address - Street 1:5494 SW 83RD ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-3754
Mailing Address - Country:US
Mailing Address - Phone:352-208-1174
Mailing Address - Fax:866-259-5987
Practice Address - Street 1:1920 SW 20TH PL
Practice Address - Street 2:#100
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7881
Practice Address - Country:US
Practice Address - Phone:352-237-1212
Practice Address - Fax:352-237-0066
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2016-03-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist