Organization
COAST 2 COAST MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK S COURTNEY (OWNER)
(720) 581-4607
Entity
Organization
Contact information
Practice address
2637 JUPITER WAY, THE VILLAGES, FL 32163-6334
(720) 581-4607
(888) 373-0502
Mailing address
2637 JUPITER WAY, THE VILLAGES, FL 32163-6334
(720) 581-4607
(888) 373-0502
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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