Organization
COASTLINE EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KENNEDY (AUTHORIZED OFFICIAL)
(207) 807-9009
Entity
Organization
Contact information
Practice address
3231 MCMULLEN BOOTH RD, SAFETY HARBOR, FL 34695-6607
(954) 939-5000
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/31/2025
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