Organization
COASTAL CARE CORPORATION
Active
Other names
MARTIN MEMORIAL MEDICENTER OF HOBE SOUND
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN LITKE (MANAGER)
(772) 223-4940
Entity
Organization
Contact information
Practice address
11600 SE FEDERAL HWY, HOBE SOUND, FL 33455-5213
(772) 223-4940
(772) 223-4944
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5665
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1996125033
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064696202
—
FL
Enumeration date
01/08/2007
Last updated
08/27/2013
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