# COASTAL CARE MEDICAL SUPPLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HME Partners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356651673
- **Authorized official:** MR. JONATHAN JAMES FEDELE (PRESIDENT)
- **Authorized official phone:** (561) 265-4310

## Contact information

- **Practice address:** 755 NW 17TH AVE, 105, DELRAY BEACH, FL 33445-2522
- **Practice address phone:** (561) 265-4310
- **Practice address fax:** (561) 214-4004
- **Mailing address:** 1800 W WOOLBRIGHT RD, 200, BOYNTON BEACH, FL 33426-6398
- **Mailing address phone:** (561) 819-0460
- **Mailing address fax:** (561) 207-7781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1887 | FL | Yes |

## Other

- **Enumeration date:** 10/20/2010
- **Last updated:** 10/20/2010
