Organization
COASTAL SURGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADFORD ANGIULLI PA-C (MANAGER)
(321) 626-9794
Entity
Organization
Contact information
Practice address
48 FORT ROYAL IS, FT LAUDERDALE, FL 33308-6014
(321) 626-9794
Mailing address
48 FORT ROYAL IS, FT LAUDERDALE, FL 33308-6014
(321) 626-9794
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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