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Organization
COASTAL CARE CORPORATION
Active
Organization
COASTAL CARE CORPORATION
Active
Other names
MARTIN MEMORIAL MEDICENTER OF PALM CITY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LESTER LORD (PRESIDENT)
(772) 223-5945
Entity
Organization
Contact information
Practice address
3066 SW MARTIN DOWNS BLVD, UNIT 6 STE B, PALM CITY, FL 34990-2683
(772) 781-2781
(772) 781-2782
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1998122013
FL
261QU0200X
Urgent Care Clinic/Center
Primary
1998122013
FL
Other
Enumeration date
01/08/2007
Last updated
10/03/2019
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