Organization
COASTAL MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHEZAD ABDULLAH MOTEN (PRESIDENT)
(561) 254-0887
Entity
Organization
Contact information
Practice address
282 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33441-3322
(561) 254-0887
Mailing address
282 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33441-3322
(561) 254-0887
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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