| NPI | 1144791294 |
|---|---|
| Former Legal Business Name | COSTAL APRN MEDICAL SOLUTIONS LLC |
| Entity Type | Organization |
| Authorized Contact | ASHLEY ANN KALIN Family Nurse Practitioner 321-505-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |