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Organization
COASTAL CARE CORPORATION
Active
Organization
COASTAL CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LESTER LORD (PRESIDENT)
(772) 223-5945
Entity
Organization
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 223-4903
(772) 223-5622
Mailing address
PO BOX 9033, STUART, FL 34995-9033
(772) 223-4903
(772) 223-5622
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/16/2006
Last updated
10/03/2019
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