Coastal Esthetics, LLC

NPI #1114572245 in Edgewater, Florida

Provider Information

NPI Number
1114572245
Entity Type
Organization
Organization Name
Coastal Esthetics, LLC
Primary Specialty
Family Medicine - Adult Medicine
Enumeration Date
Aug 6, 2019
Last Updated
Apr 26, 2022

Practice Location

Address
109 W KNAPP AVE
State
Florida
ZIP Code
32132-1555
Phone
(386) 957-4100

Authorized Official

Name
CARISSA PETERSON, APRN
Title
OWNER/APRN
Phone
(386) 957-4100

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adult MedicineAdult Medicine

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