Organization

Coastal Care Corporation

Radiology Clinic/Center in Port St Lucie, FL(View on Map)

Legal Business Name

Coastal Care Corporation

NPI Number

1801129747

NPI Type

Organization

Enumeration Date

09/10/2009

Specialties

(Taxonomies)

Code

261QR0200X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 959
1651 SE TIFFANY AVE STE 100

City

Stuart
Port St Lucie

State

FL
FL

Postal Code

34995-0959
34952-7564

Country

US
US

Telephone Number

(772) 223-4923
(772) 223-4923

Authorized Official

Name

Mr. Robert Lord

Title or Position

CEO

Telephone Number

(772) 223-4903

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/11/2018

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