Organization
COASTAL COMPLETE CARE
Active
Parent organization
COASTAL COMPLETE CARE
Other names
Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL COMPLETE CARE
Authorized official
DR. RONALD EMERICK JR. D.O. (CO-OWNER, MEDICAL DIRECTOR)
(850) 584-6000
Entity
Organization
Contact information
Practice address
1706 S JEFFERSON ST, PERRY, FL 32348-5611
(850) 584-6000
(850) 584-6001
Mailing address
100 PLANTATION RD, PERRY, FL 32348-6000
(850) 584-6000
(850) 584-6001
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OS9746
FL
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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