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Organization
COAST TO COAST PODIATRY INC
Active
Organization
COAST TO COAST PODIATRY INC
Active
Parent organization
COAST TO COAST PODIATRY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COAST TO COAST PODIATRY INC
Authorized official
DR. MICHAEL E DOMIS DPM (PRESIDENT)
(727) 572-5449
Entity
Organization
Contact information
Practice address
905 E MARTIN LUTHER KING JR DR STE 320, TARPON SPRINGS, FL 34689-4853
(727) 572-5449
(727) 573-2049
Mailing address
PO BOX 56, PALM HARBOR, FL 34682-0056
(727) 572-5449
(278) 445-4257
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2713
FL
Other
Enumeration date
08/31/2006
Last updated
03/21/2021
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