# CORAL MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114556388
- **Authorized official:** CLAUDIA DEL PINO (OWNER)
- **Authorized official phone:** (786) 326-2667

## Contact information

- **Practice address:** 1500 COLONIAL BLVD STE 219, FORT MYERS, FL 33907-1026
- **Practice address phone:** (786) 326-2667
- **Mailing address:** 1722 SW 38TH TER, CAPE CORAL, FL 33914-5576
- **Mailing address phone:** (786) 326-2667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/08/2020
- **Last updated:** 04/08/2020