Organization · Type 2 NPI

Coastline Medical Services PLLC

Medical Specialty Clinic/Center · Fort Walton Beach, FL

NPI number 1003361767 Active

Practice location

1817 Lewis Turner Blvd Ste F
Fort Walton Beach, FL 32547-1349

Mailing address

208 Mary Esther Blvd
Mary Esther, FL 32569-1687

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician 207QS0010XNone listed
Medical Specialty Clinic/Center Primary 261QM2500XME116308 (FL)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1003361767

Coastline Medical Services PLLC's National Provider Identifier is 1003361767, issued on Aug 23, 2016. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Sep 27, 2024.