Organization
COASTAL HEALTH SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUDSON ROWAN (MANAGER)
(727) 247-5977
Entity
Organization
Contact information
Practice address
5305 GRAND BLVD, NEW PORT RICHEY, FL 34652-4014
(727) 247-5977
Mailing address
208 MAGNOLIA DR, CLEARWATER, FL 33756-3834
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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