| NPI | 1124292867 |
|---|---|
| Doing Business As | COASTAL INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LISA M RANKIN Owner/Agent 772-344-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0074325) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2012-01-24 |