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Organization

COASTAL CARE CORPORATION

Active
Other names
COASTAL CARAVAN
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT LESTER LORD (PRESIDENT)
(772) 223-5945
Entity
Organization

Contact information

Practice address
2150 SE SALERNO RD, STUART, FL 34997-6572
(772) 223-4903
(772) 223-5622
Mailing address
PO BOX 9033, STUART, FL 34995-9033
(772) 223-4903
(772) 223-5622

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
4102
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
088621100
FL
Enumeration date
07/18/2006
Last updated
10/03/2019
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