Organization
COASTAL PAIN SOLUTIONS, INC
Active
Organization
COASTAL PAIN SOLUTIONS, INC
Active
Other names
Anesthesia of the Treasure Coast
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC I LEVINE MD (PRESIDENT)
(772) 337-7676
Entity
Organization
Contact information
Practice address
2100 SE OCEAN BLVD, SUITE 100, STUART, FL 34996-3332
(772) 223-2115
(772) 223-0887
Mailing address
75 REMITTANCE DR, SUITE 6633, CHICAGO, IL 60675-6633
(772) 223-2115
(772) 223-0887
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
FL
367500000X
Certified Registered Nurse Anesthetist
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002V3
BCBS OF FLORIDA
FL
Enumeration date
09/21/2011
Last updated
12/20/2012
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