| Coastal Family Medicine Pl | |
|
1500 E Venice Ave Suite 204 Venice FL 34292-1662 | |
| (941) 484-1444 | |
| (941) 484-3444 |
| Full Name | Coastal Family Medicine Pl |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 E Venice Ave, Venice, Florida |
| Authorized Official Name and Position | Cynthia S Maule (PRESIDENT/OWNER) |
| Authorized Official Contact | 9416840842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Medicine Pl 1500 E Venice Ave Suite 204 Venice FL 34292-1662 Ph: (941) 484-1444 | Coastal Family Medicine Pl 1500 E Venice Ave Suite 204 Venice FL 34292-1662 Ph: (941) 484-1444 |
| NPI Number | 1700166758 |
|---|---|
| Provider Enumeration Date | 08/23/2011 |
| Last Update Date | 10/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700166758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME94581 (Florida) | Primary |
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