Coastal Pediatrics LLC
NPI #1831199710 in Ormond Beach, Florida
Provider Information
- NPI Number
- 1831199710
- Entity Type
- Organization
- Organization Name
- Coastal Pediatrics LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 21, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1275 W GRANADA BLVD
- Address 2
- STE 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 |
|---|
| Clinic/Center - Primary Care — Primary Care |
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