COASTLINE FAMILY MEDICINE LLC

PORT ORANGE, FL
NPI1316646748
Entity TypeOrganization
Authorized ContactKATHRINE RIGNEY
Owner
386-689-4090
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2023-02-24
Last Update Date2023-03-20
Business Address
COASTLINE FAMILY MEDICINE LLC
6258 WOODHAVEN VILLAGE DR
PORT ORANGE, FL 32128-6850
Phone number: 386-689-4090
Mailing Address
COASTLINE FAMILY MEDICINE LLC
6258 WOODHAVEN VILLAGE DR
PORT ORANGE, FL 32128-6850
Phone number: 386-689-4090