| Coastal Med LLC | |
|
4400 W Sample Rd Ste 244 Coconut Creek FL 33073-3473 | |
| (772) 260-7326 | |
| Not Available |
| Full Name | Coastal Med LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 4400 W Sample Rd Ste 244, Coconut Creek, Florida |
| Authorized Official Name and Position | Amy Slone Legg (OWNER) |
| Authorized Official Contact | 7722607326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Med LLC 3022 Sw Grapevine Ln Palm City FL 34990-3254 Ph: (772) 260-7326 | Coastal Med LLC 4400 W Sample Rd Ste 244 Coconut Creek FL 33073-3473 Ph: (772) 260-7326 |
| NPI Number | 1518832112 |
|---|---|
| Provider Enumeration Date | 10/06/2025 |
| Last Update Date | 10/06/2025 |
| Certification Date | 10/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518832112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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