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1316646748
COASTLINE FAMILY MEDICINE LLC
PORT ORANGE, FL
NPI
1316646748
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Entity Type
Organization
Authorized Contact
KATHRINE RIGNEY
Owner
386-689-4090
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2023-02-24
Last Update Date
2023-03-20
Business Address
COASTLINE FAMILY MEDICINE LLC
6258 WOODHAVEN VILLAGE DR
PORT ORANGE, FL 32128-6850
Phone number: 386-689-4090
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Mailing Address
COASTLINE FAMILY MEDICINE LLC
6258 WOODHAVEN VILLAGE DR
PORT ORANGE, FL 32128-6850
Phone number: 386-689-4090
Copy
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