Organization
COASTAL ORTHOPEDIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PERRETTA CP (OWNER)
(772) 871-9200
Entity
Organization
Contact information
Practice address
3954 US HIGHWAY 27 S, SEBRING, FL 33870-5511
(772) 871-9200
(772) 336-4040
Mailing address
510 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-1943
(772) 871-9200
(772) 336-4040
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PRO 84
FL
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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