Organization · Type 2 NPI
Coastal Diabetes, LLC
Durable Medical Equipment & Medical Supplies · Fort Walton Beach, FL
Practice location
12 Miracle Strip Pkwy SE, Suite 102
Fort Walton Beach, FL 32548-5814
Fax (850) 243-1421
Mailing address
PO Box 242037
Montgomery, AL 36124-2037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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About NPI 1730494451
Coastal Diabetes, LLC's National Provider Identifier is 1730494451, issued on Aug 18, 2010. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Aug 18, 2010.