COASTLINE IMAGING LLC

MELBOURNE, FL
NPI1770576167
Doing Business AsENCORE IMAGING
Entity TypeOrganization
Authorized ContactDANETTE LAURICIA
Credentialing Manager
321-253-2700
Organization Subpart ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: FL  HCC3989)
Additional Taxonomies2085U0001X Radiology, Diagnostic Ultrasound
(Licence: FL  HCC3989)
Enumeration Date2005-08-31
Last Update Date2024-01-11
Business Address
COASTLINE IMAGING LLC
2290 W EAU GALLIE BLVD STE 104
MELBOURNE, FL 32935-3134
Phone number: 321-253-2700
Mailing Address
COASTLINE IMAGING LLC
2290 W EAU GALLIE BLVD STE 104
MELBOURNE, FL 32935-3133
Phone number: 321-253-2700