Organization
COASTAL CARE MEDICAL SUPPLY, INC.
Active
Other names
HME Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN JAMES FEDELE (PRESIDENT)
(561) 265-4310
Entity
Organization
Contact information
Practice address
755 NW 17TH AVE, 105, DELRAY BEACH, FL 33445-2522
(561) 265-4310
(561) 214-4004
Mailing address
1800 W WOOLBRIGHT RD, 200, BOYNTON BEACH, FL 33426-6398
(561) 819-0460
(561) 207-7781
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1887
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1887
AHCA
FL
Enumeration date
10/20/2010
Last updated
10/20/2010
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