Organization
COASTAL ENT SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT JOSEPH PISCIOTTA (OWNER)
(228) 324-4887
Entity
Organization
Contact information
Practice address
970 TOMMY MUNRO DR STE D, BILOXI, MS 39532-2176
(228) 896-1987
Mailing address
970 TOMMY MUNRO DR STE D, BILOXI, MS 39532-2176
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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