| Coastal Care Corporation | |
|
3066 Sw Martin Downs Blvd Unit 6 Ste B Palm City FL 34990-2683 | |
| (772) 781-2781 | |
| (772) 781-2782 |
| Full Name | Coastal Care Corporation |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 3066 Sw Martin Downs Blvd, Palm City, 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 417 Stuart FL 34995-0417 Ph: (772) 223-2832 | Coastal Care Corporation 3066 Sw Martin Downs Blvd Unit 6 Ste B Palm City FL 34990-2683 Ph: (772) 781-2781 |
| NPI Number | 1568510618 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 10/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568510618 | NPI | - | NPPES |
| 064696203 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1998122013 (Florida) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 1998122013 (Florida) | Primary |
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