Coast Florida P.a.
NPI #1871169250 in North Fort Myers, Florida
Provider Information
- NPI Number
- 1871169250
- Entity Type
- Organization
- Organization Name
- Coast Florida P.a.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COAST FLORIDA P.A.
- Primary Specialty
- Dentist
- Enumeration Date
- May 27, 2021
- Last Updated
- May 27, 2021
Practice Location
- Address
- 19001 N TAMIAMI TRL STE 4
- City
- North Fort Myers
- State
- Florida
- ZIP Code
- 33903-7306
- Phone
- (239) 731-8811
Authorized Official
- Name
- MELODY RIVERA
- Title
- CREDENTIALING MANAGER
- Phone
- (813) 350-7166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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| William Welch |  AI Deep Dive |
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| Rasmussen Family Dental North LLC | AI Deep Dive |
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