Organization
COASTAL IN HOME MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L. MERLINO DR. (OWNER)
(609) 647-0009
Entity
Organization
Contact information
Practice address
3885 WOODMERE PARK BLVD APT 3, VENICE, FL 34293-5270
(609) 647-0009
Mailing address
3885 WOODMERE PARK BLVD APT 3, VENICE, FL 34293-5270
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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