Organization
COASTAL FAMILY PRACTICE & ACUTE CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ROBERT MARSHALL (BILLING MANAGER)
(850) 231-9286
Entity
Organization
Contact information
Practice address
9961 E COUNTY HIGHWAY 30A, SUITE #5, PANAMA CITY BEACH, FL 32413-7282
(850) 231-9286
(850) 231-9287
Mailing address
9961 E COUNTY HIGHWAY 30A, SUITE #5, PANAMA CITY BEACH, FL 32413-7282
(850) 231-9286
(850) 231-9287
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
07/07/2010
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