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1033500624
COASTAL FAMILY HEALTHCARE LLC
PALM COAST, FL
NPI
1033500624
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Entity Type
Organization
Authorized Contact
JERRY D LEVENTHAL
Sole Mbr
386-437-4711
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2015-02-18
Last Update Date
2015-02-18
Business Address
COASTAL FAMILY HEALTHCARE LLC
21 HOSPITAL DR SUITE 280
PALM COAST, FL 32164-2452
Phone number: 386-437-4711
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Mailing Address
COASTAL FAMILY HEALTHCARE LLC
21 HOSPITAL DR SUITE 280
PALM COAST, FL 32164-2452
Phone number:
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