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Organization

COASTAL QUALITY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARICA-TORY MCCRAY APRN (OWNER)
(727) 967-6797
Entity
Organization

Contact information

Practice address
6625 23RD CIR N, SAINT PETERSBURG, FL 33702-5609
(727) 967-6797
Mailing address
PO BOX 16166, SAINT PETERSBURG, FL 33733-6166
(727) 967-6797

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
10/01/2020
Last updated
10/01/2020
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