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Coastline Imaging Llc
Diagnostic Ultrasound Physician in Melbourne, Florida
NPI 1770576167

Coastline Imaging Llc is a Diagnostic Ultrasound Physician based in Melbourne, FL and is specialized in Diagnostic Ultrasound. Coastline Imaging Llc practices in Melbourne, FL. The NPI Number for Coastline Imaging Llc is 1770576167 and holds a License No. HCC3989 (Florida).

The current practice location address for Coastline Imaging Llc is 2290 W Eau Gallie Blvd Ste 104, Melbourne, FL and can be reached out via phone at 321-253-2700 and via fax at 321-253-2267.

Location: 2290 W Eau Gallie Blvd Ste 104, Melbourne, FL, 32935-3133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770576167
Provider Name
Coastline Imaging Llc
Credential
Provider Entity Type
Organization
Address
2290 W Eau Gallie Blvd Ste 104, Melbourne, FL, 32935-3133
Phone Number
321-253-2700
Fax Number
321-253-2267
Provider Enumeration Date
08/31/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V2122 01 FL BCBS FL
institution
Provider Business Practice Location Address Details
Address
2290 W Eau Gallie Blvd Ste 104
City
Melbourne
State
Florida
Zip
32935-3134
Phone Number
321-253-2700
Fax Number
321-253-2267
person
Provider Business Mailing Address Details
Address
2290 W Eau Gallie Blvd Ste 104
City
Melbourne
State
Florida
Zip
32935-3134
Phone Number
321-253-2700
Fax Number
321-253-2267
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
HCC3989 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
HCC3989 (Florida)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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