Organization
COASTAL DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DERASMO (OWNER)
(561) 271-4587
Entity
Organization
Contact information
Practice address
21186 VIA EDEN, BOCA RATON, FL 33433-2206
(561) 271-4587
Mailing address
21186 VIA EDEN, BOCA RATON, FL 33433-2206
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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