Coastal Complete Care

NPI #1083098388 in Perry, Florida

Provider Information

NPI Number
1083098388
Entity Type
Organization
Organization Name
Coastal Complete Care
Subpart
Yes (part of a larger organization)
Parent Organization
COASTAL COMPLETE CARE
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jul 16, 2015
Last Updated
Jul 16, 2015

Practice Location

Address
1706 S JEFFERSON ST
City
Perry
State
Florida
ZIP Code
32348-5611
Phone
(850) 584-6000

Authorized Official

Name
DR. RONALD EMERICK JR., D.O.
Title
CO-OWNER, MEDICAL DIRECTOR
Phone
(850) 584-6000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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