institution
Coastal Care Corporation
Mammography Clinic/Center in Port St Lucie, Florida
NPI 1558320556

Coastal Care Corporation is a Mammography Clinic/Center based in Stuart, FL and is specialized in Radiology, Mammography. Coastal Care Corporation practices in Port St Lucie, FL. The NPI Number for Coastal Care Corporation is 1558320556 and holds a License No. (Florida).

The current practice location address for Coastal Care Corporation is 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL and can be reached out via phone at 772-785-5502 and via fax at 772-223-5622.

Location: 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL, 34995-0959
institution
Provider Profile Details
NPI Number
1558320556
Provider Name
Coastal Care Corporation
Credential
Provider Entity Type
Organization
Address
1095 Nw Saint Lucie West Blvd, Port St Lucie, FL, 34995-0959
Phone Number
772-785-5502
Fax Number
772-223-5622
Provider Enumeration Date
03/20/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V2390 01 FL BLUE CROSS
CA5218 01 FL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1095 Nw Saint Lucie West Blvd
City
State
Zip
34986-1719
Phone Number
772-785-5502
Fax Number
772-223-5622
person
Provider Business Mailing Address Details
Address
1095 Nw Saint Lucie West Blvd
City
State
Zip
34986-1719
Phone Number
772-785-5502
Fax Number
772-223-5622
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Magnetic Resonance Imaging (MRI)
Taxonomy
License No.
4102 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
4102 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
License No.
()
Definition
Definition to come...
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