NPI | 1093308355 |
---|---|
Doing Business As | COAASTAL PRIMECARE |
Entity Type | Organization |
Authorized Contact | ANGELIA SAKYI-AGYEKUM Owner 904-437-1529 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-02-18 |
Last Update Date | 2021-02-18 |