Coastal Imaging INC
NPI #1053583526 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1053583526
- Entity Type
- Organization
- Organization Name
- Coastal Imaging INC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Mar 25, 2008
- Last Updated
- Mar 25, 2008
Practice Location
- Address
- 20020 VETERANS BLVD
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33954-2112
- Phone
- (941) 629-9877
Authorized Official
- Name
- LISA BOUCHER
- Title
- ULTRASOUND TECH
- Phone
- (941) 421-2116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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