Organization
COASTLINE MEDICALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN E BUCK (OWNER)
(207) 712-6100
Entity
Organization
Contact information
Practice address
530B HARKLE RD STE 100, SANTA FE, NM 87505-4739
(207) 712-6100
(800) 380-5604
Mailing address
PO BOX 124, HAMPDEN, ME 04444-0124
(207) 712-6100
(800) 380-5604
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
05/02/2019
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