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Organization
COAST MEDICAL SERVICES
Active
Organization
COAST MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO FUENTES (GENERAL MANAGER)
(561) 996-1199
Entity
Organization
Contact information
Practice address
1540 NW AVENUE L STE 101, BELLE GLADE, FL 33430-1767
(561) 996-1199
(561) 996-7722
Mailing address
1540 NW AVENUE L STE 101, BELLE GLADE, FL 33430-1767
(561) 996-1199
(561) 996-7722
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1312806
FL
Other
Enumeration date
06/07/2006
Last updated
12/14/2009
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