Coastline Imaging LLC

NPI #1679802599 in Melbourne, Florida

Provider Information

NPI Number
1679802599
Entity Type
Organization
Organization Name
Coastline Imaging LLC
Primary Specialty
Physical Therapist
Enumeration Date
Dec 24, 2009
Last Updated
Oct 11, 2022

Practice Location

Address
1341 MEDICAL PARK DR
Address 2
STE. 202
State
Florida
ZIP Code
32901-3235
Phone
(321) 253-2700

Authorized Official

Name
DANETTE MICHELLE LAURICIA
Title
CREDENTIALING MANAGER
Phone
(321) 253-2700

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant
Occupational Therapist
Physical Therapist

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