Coast Surgical Group Pllc

NPI #1598054306 in Lutz, Florida

Provider Information

NPI Number: 1598054306
Entity Type: Organization
Organization Name: Coast Surgical Group Pllc
Primary Specialty: Surgery
Enumeration Date: Apr 1, 2011
Last Updated: Jul 12, 2011

Practice Location

Address: 19105 N US HIGHWAY 41
Address 2: SUITE 300
City: Lutz
State: Florida
ZIP Code: 33549-4206
Phone: (813) 866-1959

Authorized Official

Name: DR. MIT DESAI, M.D.
Title: CEO
Phone: (813) 866-1959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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