Coastal Pediatrics

NPI #1780888321 in Ormond Beach, Florida

Provider Information

NPI Number: 1780888321
Entity Type: Organization
Organization Name: Coastal Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Jun 14, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1275 W GRANADA BLVD
Address 2: SUITE 3A
City: Ormond Beach
State: Florida
ZIP Code: 32174-8259
Phone: (386) 672-1490

Authorized Official

Name: DR. JEAN CLAUDE JEANTY, M.D.
Title: OWNER
Phone: (386) 672-1490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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