Organization · Type 2 NPI
Coastal Medical Associates Inc
Primary Care Clinic/Center · Port Orange, FL
NPI number
1902893795
Active
Practice location
4530 S Ridgewood Ave
Port Orange, FL 32127-4523
Fax (386) 788-8556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Urgent Care Clinic/Center | 261QU0200X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Port Orange
About NPI 1902893795
Coastal Medical Associates Inc's National Provider Identifier is 1902893795, issued on Oct 5, 2005. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Port Orange, FL. The record was last updated on Jul 24, 2009.