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Organization
COASTAL CARE HOME MEDICAL, INC
Active
Organization
COASTAL CARE HOME MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN C WILLIAMS (PRESIDENT)
(407) 417-3373
Entity
Organization
Contact information
Practice address
1055 N DIXIE FWY, SUITE 7, NEW SMYRNA BEACH, FL 32168-6201
(407) 417-3373
Mailing address
1055 N DIXIE FWY, SUITE 7, NEW SMYRNA BEACH, FL 32168-6201
(407) 417-3373
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
04/03/2010
Last updated
11/15/2010
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