COASTAL SHORELINE MEDICAL GROUP

LAKEWOOD RANCH, FL
NPI1164398806
Entity TypeOrganization
Authorized ContactKIMBERLY L BORSHEIM
Administrator
813-944-9365
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2025-10-10
Last Update Date2025-10-10
Business Address
COASTAL SHORELINE MEDICAL GROUP
12522 ROCKROSE GLN
LAKEWOOD RANCH, FL 34202-2827
Phone number: 813-944-9365
Mailing Address
COASTAL SHORELINE MEDICAL GROUP
12522 ROCKROSE GLN
LAKEWOOD RANCH, FL 34202-2827
Phone number: 813-944-9365