Organization
COASTAL PRIMECARE FL GROUP
Active
Other names
Coaastal Primecare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELIA SAKYI-AGYEKUM APRN (OWNER)
(904) 437-1529
Entity
Organization
Contact information
Practice address
8291 DANI DR STE 100, FORT MYERS, FL 33966-8021
(239) 931-6049
Mailing address
8291 DANI DR STE 100, FORT MYERS, FL 33966-8021
(239) 931-6049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316422199
NPI
FL
Enumeration date
02/18/2021
Last updated
02/18/2021
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