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Organization
COASTAL CARE CORPORATION
Active
Organization
COASTAL CARE CORPORATION
Active
Other names
Advanced Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
10050 SW INNOVATION WAY STE 104, PORT SAINT LUCIE, FL 34987-2117
(772) 223-5793
Mailing address
6801 BRECKSVILLE RD, STE 20 ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062
(216) 636-4969
(216) 636-6063
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
4102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084593100
—
FL
Enumeration date
07/18/2006
Last updated
08/08/2025
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