Organization
COASTAL SHORELINE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY L BORSHEIM (ADMINISTRATOR)
(813) 944-9365
Entity
Organization
Contact information
Practice address
12522 ROCKROSE GLN, LAKEWOOD RANCH, FL 34202-2827
(813) 944-9365
Mailing address
12522 ROCKROSE GLN, LAKEWOOD RANCH, FL 34202-2827
(813) 944-9365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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