Organization
COASTAL CARE CORPORATION
Active
Parent organization
COASTAL CARE CORPORATION
Other names
Martin Health System Diagnostic Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL CARE CORPORATION
Authorized official
ROBERT LESTER LORD (PRESIDENT, CEO)
(772) 223-5945
Entity
Organization
Contact information
Practice address
625 SE RIVERSIDE DR, STUART, FL 34994-2502
(772) 221-2002
Mailing address
PO BOX 9033, STUART, FL 34995-9033
(772) 223-4903
(772) 223-5622
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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