Organization
COASTLINE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRINE RIGNEY APRN (OWNER)
(386) 689-4090
Entity
Organization
Contact information
Practice address
6258 WOODHAVEN VILLAGE DR, PORT ORANGE, FL 32128-6850
(386) 689-4090
Mailing address
6258 WOODHAVEN VILLAGE DR, PORT ORANGE, FL 32128-6850
(386) 689-4090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
03/20/2023
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