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1669048989
COAST FLORIDA P.A.
HUDSON, FL
NPI
1669048989
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Entity Type
Organization
Authorized Contact
MELODY RIVERA
Credentialing Manager
813-350-7166
Organization Subpart ?
Yes
Primary Taxonomy
122300000X Dentist
Enumeration Date
2021-05-27
Last Update Date
2021-05-27
Business Address
COAST FLORIDA P.A.
12123 LITTLE RD
HUDSON, FL 34667-2924
Phone number: 727-379-9250
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Mailing Address
COAST FLORIDA P.A.
5706 BENJAMIN CENTER DR STE 103
TAMPA, FL 33634-5262
Phone number: 813-288-1999
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