Coastal Family Healthcare Llc | |
21 Hospital Dr Suite 280 Palm Coast FL 32164-2452 | |
(386) 437-4711 | |
Not Available |
Full Name | Coastal Family Healthcare Llc |
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Speciality | Family Medicine |
Location | 21 Hospital Dr, Palm Coast, Florida |
Authorized Official Name and Position | Jerry D Leventhal (SOLE MBR) |
Authorized Official Contact | 3864374711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coastal Family Healthcare Llc 21 Hospital Dr Suite 280 Palm Coast FL 32164-2452 Ph: () - | Coastal Family Healthcare Llc 21 Hospital Dr Suite 280 Palm Coast FL 32164-2452 Ph: (386) 437-4711 |
NPI Number | 1033500624 |
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Provider Enumeration Date | 02/18/2015 |
Last Update Date | 02/18/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033500624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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