Organization
COASTAL PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA TUNKE MD (OWNER)
(850) 490-8862
Entity
Organization
Contact information
Practice address
14 LIVE OAK ST STE C-4, GULF BREEZE, FL 32561-4484
(850) 490-8862
(937) 915-0250
Mailing address
14 LIVE OAK ST STE C-4, GULF BREEZE, FL 32561-4484
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
06/01/2020
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