# COAST FAMILY CARE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunshine Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396010120
- **Authorized official:** DR. DENIS A VILCHEZ MD (OWNER)
- **Authorized official phone:** (832) 867-8019

## Contact information

- **Practice address:** 451 SW BETHANY DR STE 103, PORT SAINT LUCIE, FL 34986-1964
- **Practice address phone:** (832) 867-8019
- **Mailing address:** 451 SW BETHANY DR STE 103, PORT SAINT LUCIE, FL 34986-1964
- **Mailing address phone:** (832) 867-8019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2012
- **Last updated:** 06/04/2024
