# COASTLINE MEDICAL WALK IN CENTER

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

## Provider details

- **NPI number:** 1710118088
- **Authorized official:** MR. AARON RAYMOND BLOCK PHYSICIAN ASSISTANT (PRESIDENT)
- **Authorized official phone:** (302) 329-9046

## Contact information

- **Practice address:** 611 FEDERAL ST, SUITE 5, MILTON, DE 19968-1157
- **Practice address phone:** (302) 329-9046
- **Mailing address:** 611 FEDERAL ST, SUITE 5, MILTON, DE 19968-1157
- **Mailing address phone:** (302) 329-9046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/04/2009
- **Last updated:** 11/12/2009
