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Organization

COASTLINE NEURO LLC

Active
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Organization

COASTLINE NEURO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNNY PARTRIDGE CNIM (COO)
(501) 209-0705
Entity
Organization

Contact information

Practice address
369 WAYNE TRL, SANTA ROSA BEACH, FL 32459-5043
(501) 209-0705
Mailing address
369 WAYNE TRL, SANTA ROSA BEACH, FL 32459-5043
(501) 209-0705

Taxonomy

Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
NULL
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—

Other

Enumeration date
06/18/2026
Last updated
06/18/2026
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