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1215914072
COASTAL INTERNAL MEDICINE SPECIALISTS, PA
FORT MYERS, FL
NPI
1215914072
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Entity Type
Organization
Authorized Contact
BRIAN G. MARTIN
President
239-936-7171
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2005-12-22
Last Update Date
2016-02-02
Business Address
COASTAL INTERNAL MEDICINE SPECIALISTS, PA
5172 MASON CORBIN COURT STE 1
FORT MYERS, FL 33907-7533
Phone number: 239-936-7171
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Mailing Address
COASTAL INTERNAL MEDICINE SPECIALISTS, PA
5172 MASON CORBIN COURT STE 1
FORT MYERS, FL 33907-7533
Phone number: 239-936-7171
Copy
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