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Organization
COASTAL INSURANCE
Active
Organization
COASTAL INSURANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES JOHN MIKULSKI (AGENT)
(941) 484-7666
Entity
Organization
Contact information
Practice address
200 E VENICE AVE, SUITE 304B, VENICE, FL 34285-1941
(941) 484-7666
Mailing address
200 E VENICE AVE, SUITE 304B, VENICE, FL 34285-1941
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
D074547
FL
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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