COASTAL CARE CORPORATION NPI 1568510618

NPI Information

COASTAL CARE CORPORATION is an urgent care clinic center in Palm City, FL. COASTAL CARE CORPORATION NPI is 1568510618. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Martin Memorial Medicenter Of Palm City.

The provider's business location address is:

3066 SW MARTIN DOWNS BLVD
UNIT 6 STE B
PALM CITY, FL
ZIP 34990-683
Phone: (772) 781-2781
Fax: (772) 781-2782

The provider's authorized official is Robert Lester Lord .
The authorized official title is President and has the following contact phone number (772) 223-5945.

The CLIA number assigned to this NPI record is 10D2114055 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 10/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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