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Organization

COASTAL HEART & VASCULAR INSTITUTE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSICA MARITZA JARA MD (PRESIDENT)
(407) 963-3943
Entity
Organization

Contact information

Practice address
2500 BOBCAT VILLAGE CENTER RD, UNIT G, NORTH PORT, FL 34288-8476
(407) 963-3943
(407) 400-7966
Mailing address
2500 BOBCAT VILLAGE CENTER RD, UNIT G, NORTH PORT, FL 34288-8476
(407) 963-3943
(407) 400-7966

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FL

Other

Enumeration date
09/09/2013
Last updated
12/04/2013
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