Organization
COASTAL ONCOLOGY PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DODD MD (DOCTOR)
(386) 673-2442
Entity
Organization
Contact information
Practice address
325 CLYDE MORRIS BLVD, STE 450, ORMOND BEACH, FL 32174-8178
(386) 673-2442
(386) 673-4884
Mailing address
325 CLYDE MORRIS BLVD, STE 450, ORMOND BEACH, FL 32174-8178
(386) 673-2442
(386) 673-4884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME78210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256247200
—
FL
Enumeration date
11/21/2005
Last updated
07/02/2008
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