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Organization
COASTAL VIEW COMMUNITY CENTER INC
Active
Organization
COASTAL VIEW COMMUNITY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIDEL GONZALEZ DIAZ (OWNER)
(813) 770-3816
Entity
Organization
Contact information
Practice address
1725 W DR MARTIN LUTHER KING JR BLVD STE 100, TAMPA, FL 33607-6507
(813) 793-8731
Mailing address
1725 W DR MARTIN LUTHER KING JR BLVD STE 100, TAMPA, FL 33607-6507
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
06/21/2023
Last updated
03/15/2024
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