# COASTAL PHYSICAL MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407290695
- **Authorized official:** DR. RICHARD RIZZUTO DC (PRESIDENT)
- **Authorized official phone:** (251) 955-2225

## Contact information

- **Practice address:** 1600 N MCKENZIE ST, FOLEY, AL 36535-2248
- **Practice address phone:** (251) 955-2225
- **Practice address fax:** (251) 980-1945
- **Mailing address:** 1600 N MCKENZIE ST, FOLEY, AL 36535-2248
- **Mailing address phone:** (251) 955-2225
- **Mailing address fax:** (251) 980-1945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24538 | AL | Yes |

## Other

- **Enumeration date:** 04/18/2013
- **Last updated:** 08/14/2013