Coastline Surgical Group, Pllc

NPI #1629708821 in Venice, Florida

Provider Information

NPI Number: 1629708821
Entity Type: Organization
Organization Name: Coastline Surgical Group, Pllc
Primary Specialty: Surgery
Enumeration Date: Jun 13, 2022
Last Updated: Jun 17, 2022

Practice Location

Address: 411 COMMERCIAL CT BLDG 4
City: Venice
State: Florida
ZIP Code: 34292-1650
Phone: (941) 786-0790

Authorized Official

Name: SHEA G JONES
Title: MANAGER
Phone: (941) 786-0790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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