Coast Medical Management Of Florida Llc | |
451 Sw Bethany Dr Ste 103 Port Saint Lucie FL 34986-1964 | |
(772) 348-0828 | |
(772) 348-0826 |
Full Name | Coast Medical Management Of Florida Llc |
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Speciality | Clinic/center - Primary Care |
Location | 451 Sw Bethany Dr Ste 103, Port Saint Lucie, Florida |
Authorized Official Name and Position | Denis A Vilchez (MANAGER) |
Authorized Official Contact | 7723480828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coast Medical Management Of Florida Llc 451 Sw Bethany Dr Ste 103 Port Saint Lucie FL 34986-1964 Ph: (772) 348-0828 | Coast Medical Management Of Florida Llc 451 Sw Bethany Dr Ste 103 Port Saint Lucie FL 34986-1964 Ph: (772) 348-0828 |
NPI Number | 1164234431 |
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Provider Enumeration Date | 01/23/2025 |
Last Update Date | 01/23/2025 |
Identifier | Type | State | Issuer |
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1164234431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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