Coastal Care Corporation
NPI #1124751185 in Port Saint Lucie, Florida
Provider Information
- NPI Number
- 1124751185
- Entity Type
- Organization
- Organization Name
- Coastal Care Corporation
- Primary Specialty
- Clinic/Center - Magnetic Resonance Imaging (MRI)
- Enumeration Date
- Jul 7, 2022
- Last Updated
- Jul 7, 2022
Practice Location
- Address
- 10000 SW INNOVATION WAY
- City
- Port Saint Lucie
- State
- Florida
- ZIP Code
- 34987-2111
- Phone
- (772) 345-5236
Authorized Official
- Name
- TIMOTHY LONGVILLE
- Title
- CHIEF ACCOUNTING OFFICER AND CONTRO
- Phone
- (216) 636-7416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI) |
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