| Coastal Care Corporation | |
|
200 Se Hospital Ave Stuart FL 34994-2346 | |
| (772) 223-4903 | |
| (772) 223-5622 |
| Full Name | Coastal Care Corporation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 200 Se Hospital Ave, Stuart, Florida |
| Authorized Official Name and Position | Robert Lester Lord (PRESIDENT) |
| Authorized Official Contact | 7722235945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Care Corporation Po Box 9033 Stuart FL 34995-9033 Ph: (772) 223-4903 | Coastal Care Corporation 200 Se Hospital Ave Stuart FL 34994-2346 Ph: (772) 223-4903 |
| NPI Number | 1609989391 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 10/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609989391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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