Coastal Physician Care Llc

NPI 1124424098 - Family Medicine - 207QA0000X

NPI Details
NPI 1124424098
Enumeration Date 11/05/2014
Last Updated 11/05/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JEREMY L JEREMY
Position CEO
Phone (239) 498-2528
Fax
Practice Location
9250 CORKSCREW RD
SUITE 3
ESTERO FL, 33928-3208, US
Phone (239) 498-2528
Fax
Business Location
1865 VETERANS PARK DR STE 202
NAPLES FL, 34109-0447, US
Phone (239) 898-3836
Fax
Toxanomy
Taxonomy Code 207QA0000X
License State
License Number
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According to our database, Coastal Physician Care Llc NPI is 1124424098, taxonomy code is 207QA0000X Coastal Physician Care Llc physically located at 9250 Corkscrew Rd, Estero FL, 33928-3208. NPI Number 1033115704 has the healthcare provider type.

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1124424098 NPI number is provided on an as is basis without warranty of any kind. 1124424098 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Physician Care Llc are for informational purposes only.