# US COAST GUARD

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

## Provider details

- **NPI number:** 1750430864
- **Authorized official:** MR. RICHARD QUINTANA (HEALTH SERVICES TECHNICIAN)
- **Authorized official phone:** (305) 535-4350

## Contact information

- **Practice address:** 100 MACARTHUR CSWY, MIAMI BEACH, FL 33139-5101
- **Practice address phone:** (305) 535-4350
- **Mailing address:** 100 MACARTHUR CSWY, MIAMI BEACH, FL 33139-5101
- **Mailing address phone:** (305) 535-4350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | Q535-740-86-208-0 | FL | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 08/22/2020