institution
Coastal Pediatrics Llc
Primary Care Clinic/Center in Ormond Beach, Florida
NPI 1831199710

Coastal Pediatrics Llc is a Primary Care Clinic/Center based in Ormond Beach, FL and is specialized in Primary Care. Coastal Pediatrics Llc practices in Ormond Beach, FL. The NPI Number for Coastal Pediatrics Llc is 1831199710 and holds a License No. (Florida).

The current practice location address for Coastal Pediatrics Llc is 1275 W Granada Blvd, Ormond Beach, FL and can be reached out via phone at 386-672-1490 and via fax at 386-672-1682. You can also correspond with Coastal Pediatrics Llc through the mailing address at 1275 W GRANADA BLVD, ORMOND BEACH, FL - 32174-8259 (mailing address contact number: 386-672-1490).

Location: 1275 W Granada Blvd, Ormond Beach, FL, 32174-8259
institution
Provider Profile Details
NPI Number
1831199710
Provider Name
Coastal Pediatrics Llc
Credential
Provider Entity Type
Organization
Address
1275 W Granada Blvd, Ormond Beach, FL, 32174-8259
Phone Number
386-672-1490
Fax Number
386-672-1682
Provider Enumeration Date
07/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
761792 01 FL FIRST HEALTH
6633914-001 01 FL CIGNA
759373 01 FL CONNECTICARE
1202000 01 FL UNITED HEALTH CARE MEDICA
26333 01 FL BLUE CROSS
5907098 01 FL AETNA
F95182 01 FL FLORIDA HOSPITAL
institution
Provider Business Practice Location Address Details
Address
1275 W Granada Blvd
City
State
Zip
32174-8259
Phone Number
386-672-1490
Fax Number
386-672-1682
person
Provider Business Mailing Address Details
Address
1275 W Granada Blvd
City
State
Zip
32174-8259
Phone Number
386-672-1490
Fax Number
386-672-1682
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
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Definition
Definition to come...
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