1558320556 COASTAL CARE CORPORATION
Radiology Clinic/Center
Active
Basic Information
- Organization Name
- COASTAL CARE CORPORATION
- Enumeration Date
- March 20, 2006
- Last Update
- May 22, 2024
- Authorized Official
- TIMOTHY L. LONGVILLE
CHIEF ACCOUNTING OFFICER/CONTROLLER
Phone: (216) 636-7416
Practice Location
- Address
- 1095 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 349861719 - Phone
- (772) 785-5502
- Fax
- (772) 223-5622
Mailing Address
- Address
- PO BOX 959
STUART, FL 349950959 - Phone
- (772) 223-4903
- Fax
- (772) 223-5622
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center Magnetic Resonance Imaging (MRI) | 261QM1200X | Clinic/Center | N/A | N/A | No |
| Mammography Clinic/Center Radiology, Mammography | 261QR0206X | Clinic/Center | 4102 | FL | No |
| Radiology Clinic/Center Radiology | 261QR0200X | Clinic/Center | 4102 | FL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V2390 | 01 | FL | BLUE CROSS |
| CA5218 | 01 | FL | RR MEDICARE |
Frequently Asked Questions
What is COASTAL CARE CORPORATION's NPI number?
COASTAL CARE CORPORATION's NPI number is 1558320556.
Which doctor has NPI number 1558320556?
The doctor with NPI number 1558320556 is COASTAL CARE CORPORATION.
What is COASTAL CARE CORPORATION's practice address?
COASTAL CARE CORPORATION's practice address is 1095 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL, 349861719.
Which doctor practices at 1095 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL, 349861719?
COASTAL CARE CORPORATION practices at 1095 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL, 349861719.
What is COASTAL CARE CORPORATION's mailing address?
COASTAL CARE CORPORATION's mailing address is PO BOX 959, STUART, FL, 349950959.
What is COASTAL CARE CORPORATION's phone number?
COASTAL CARE CORPORATION's phone number is (772) 785-5502.
Who is (772) 785-5502?
(772) 785-5502 is the phone number for COASTAL CARE CORPORATION.
What is COASTAL CARE CORPORATION's specialty?
COASTAL CARE CORPORATION's specialty is Radiology Clinic/Center.
What type of doctor is COASTAL CARE CORPORATION?
COASTAL CARE CORPORATION is a Radiology Clinic/Center.
Is COASTAL CARE CORPORATION a Radiology?
Yes, COASTAL CARE CORPORATION is a Radiology.
Is COASTAL CARE CORPORATION still practicing?
Yes, COASTAL CARE CORPORATION is currently practicing.
Is COASTAL CARE CORPORATION accepting new patients?
COASTAL CARE CORPORATION may be accepting new patients. Please call their office at (772) 785-5502 to inquire about availability.
Is NPI 1558320556 still active?
Yes, NPI 1558320556 is currently active.
Where does COASTAL CARE CORPORATION practice?
COASTAL CARE CORPORATION practices in PORT ST LUCIE, FL.