Organization
COASTAL ENTERPRISES OF JAX BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA WATSON BUSINESS OWNER (OWNER)
(270) 227-3856
Entity
Organization
Contact information
Practice address
14051 BEACH BLVD APT 2312, JACKSONVILLE, FL 32250-1828
(270) 227-3856
Mailing address
14051 BEACH BLVD APT 2312, JACKSONVILLE, FL 32250-1828
(270) 227-3856
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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