Organization
COASTAL PAIN MEDICINE, INC.
Active
Organization
COASTAL PAIN MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN COIT KRUG (DIRECTOR)
(904) 591-4150
Entity
Organization
Contact information
Practice address
100 E SAMPLE RD STE 200, POMPANO BEACH, FL 33064-3554
(954) 543-5100
(954) 543-5994
Mailing address
11244 TURNBRIDGE DR, JACKSONVILLE, FL 32256-2342
(904) 591-4150
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
01/10/2018
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