NPI | 1740397686 |
---|---|
Doing Business As | COASTAL PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | MAUREEN A ZELINKA President 772-465-3225 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0052169) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS6842) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2024-09-10 |