| NPI | 1457086654 |
|---|---|
| Doing Business As | COAST TO COAST FAMILY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | NIKALINA LELIEA DUNDAS Owner Provider 352-220-3873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2024-03-14 |