Coastal Urology P a

NPI #1396853941 in Destin, Florida

Provider Information

NPI Number: 1396853941
Entity Type: Organization
Organization Name: Coastal Urology P a
Primary Specialty: Urology
Enumeration Date: Aug 25, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4012 COMMONS DR W
Address 2: SUITE 100
City: Destin
State: Florida
ZIP Code: 32541-8422
Phone: (850) 837-0442

Authorized Official

Name: DEBBIE THUY NGUYEN
Title: OFFICE MANAGER
Phone: (850) 837-0442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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