Organization
COASTAL CARDIOVASCULAR ASSOCIATES PA
Active
Organization
COASTAL CARDIOVASCULAR ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A WOLFF (OFFICE MANAGER)
(772) 589-3000
Entity
Organization
Contact information
Practice address
7752 BAY ST, SUITE 6, SEBASTIAN, FL 32958-3427
(772) 589-3000
(772) 589-3003
Mailing address
7752 BAY ST, SUITE 6, SEBASTIAN, FL 32958-3427
(772) 589-3000
(772) 589-3003
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME100741
FL
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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