Organization
COAST MEDICAL MANAGEMENT OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIS A VILCHEZ MD (MANAGER)
(772) 348-0828
Entity
Organization
Contact information
Practice address
451 SW BETHANY DR STE 103, PORT SAINT LUCIE, FL 34986-1964
(772) 348-0828
(772) 348-0826
Mailing address
451 SW BETHANY DR STE 103, PORT SAINT LUCIE, FL 34986-1964
(772) 348-0828
(772) 348-0826
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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