COASTAL LONGEVITY LLC is a health service clinic center in Virginia Beach, VA. COASTAL LONGEVITY LLC NPI is 1912576893. The provider is registered as an organization entity type.
The provider's business location address is:
3128 KLINE DR
VIRGINIA BEACH, VA
ZIP 23452-226
Phone: (804) 840-8522
The provider's authorized official is Michael Lucas Gambill .
The authorized official title is Ceo and has the following contact phone number (804) 840-8522.
The enumeration date for this NPI number is 6/23/2021 and was last updated on 6/23/2021.