Coastal Tides Surgical Center, LLC
NPI #1609616291 in Panama City Beach, Florida
Provider Information
- NPI Number
- 1609616291
- Entity Type
- Organization
- Organization Name
- Coastal Tides Surgical Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 30, 2024
- Last Updated
- May 30, 2024
Practice Location
- Address
- 1002 N ARNOLD ROAD
- Address 2
- SUITE 401
- State
- Florida
- ZIP Code
- 32413
- Phone
- (850) 509-7567
Authorized Official
- Name
- DANIEL DAVID STANNARD, RN
- Title
- ADMINISTRATOR
- Phone
- (850) 509-7567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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