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Organization

COAST SURGICAL GROUP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIT DESAI M.D. (CEO)
(813) 866-1959
Entity
Organization

Contact information

Practice address
19105 N US HIGHWAY 41, SUITE 300, LUTZ, FL 33549-4206
(813) 866-1959
(813) 866-1957
Mailing address
PO BOX 2667, LUTZ, FL 33548-2667
(813) 866-1959
(813) 866-1957

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
04/01/2011
Last updated
07/12/2011
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