Organization
COASTAL SENIOR HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN K MCDERMOTT (PRESIDENT)
(941) 216-3800
Entity
Organization
Contact information
Practice address
3914 E STATE ROAD 64, BRADENTON, FL 34208-9059
(941) 216-3800
(941) 216-3703
Mailing address
3914 E STATE ROAD 64, BRADENTON, FL 34208-9059
(941) 216-3800
(941) 216-3703
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
03/22/2023
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