COASTAL CARE CORPORATION

PORT ST LUCIE, FL
NPI1558320556
Doing Business AsCLEVELAND CLINIC IMAGING
Doing Business AsMARTIN MEMORIAL DIAGNOSTIC SERVICES AT SAINT LUCIE WEST
Entity TypeOrganization
Authorized ContactTIMOTHY L. LONGVILLE
Chief Accounting Officer/Controller
216-636-7416
Organization Subpart ?No
Primary Taxonomy261QR0200X Clinic/Center, Radiology
(Licence: FL  4102)
Additional Taxonomies261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI)
261QR0206X Clinic/Center, Radiology, Mammography
(Licence: FL  4102)
Enumeration Date2006-03-20
Last Update Date2024-05-22
Business Address
COASTAL CARE CORPORATION
1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986-1719
Phone number: 772-785-5502
Mailing Address
COASTAL CARE CORPORATION
PO BOX 959
STUART, FL 34995-0959
Phone number: 772-223-4903