Organization
COASTAL CARE CORPORATION
Active
Other names
MARTIN MEMORIAL SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK R ROBITAILLE (PRESIDENT/CEO)
(772) 223-4903
Entity
Organization
Contact information
Practice address
509 SE RIVERSIDE DR, STUART, FL 34994-2579
(772) 223-4903
(772) 223-5622
Mailing address
PO BOX 9033, STUART, FL 34995-9033
(772) 223-4903
(772) 223-5622
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
904
FL
Other
Enumeration date
07/19/2006
Last updated
01/10/2013
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