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Organization

COASTAL CARE NURSING ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VICTORIA LYNN PETTOGRASSO L.P.N, B.S. MAT (PRESIDENT)
(941) 488-7722
Entity
Organization

Contact information

Practice address
340 TAMIAMI TRAIL S., SUITE 203, NOKOMIS, FL 34275
(941) 488-7722
Mailing address
340 TAMIAMI TRAIL S., SUITE 203, NOKOMIS, FL 34275
(941) 488-7722

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
30211179
FL
251J00000X
Nursing Care Agency
Primary
30211179
FL

Other

Enumeration date
11/15/2005
Last updated
06/15/2016
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