COAST PORT CHARLOTTE, P.L.

TAMPA, FL
NPI1164513230
Entity TypeOrganization
Authorized ContactDARLENE FINNELL
Director Of Ins. And Credentialing
813-288-1999
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2006-09-27
Last Update Date2016-06-22
Business Address
COAST PORT CHARLOTTE, P.L.
4010 W BOY SCOUT BLVD SUITE 1100-CREDENTIALING
TAMPA, FL 33607-5727
Phone number: 813-288-1999
Mailing Address
COAST PORT CHARLOTTE, P.L.
4010 W BOY SCOUT BLVD SUITE 1100-CREDENTIALING
TAMPA, FL 33607-5727
Phone number:
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