Organization
COASTAL MEDICAL & WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE E ATWELL (OFFICE MANAGER)
(772) 286-5277
Entity
Organization
Contact information
Practice address
3257 SE SALERNO RD, SUITE 3, STUART, FL 34997-6736
(772) 286-5277
(772) 286-9478
Mailing address
3257 SE SALERNO RD, SUITE 3, STUART, FL 34997-6736
(772) 286-5277
(772) 286-9478
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH8186
FL
2084N0400X
Neurology Physician
Primary
ME104153
FL
363LF0000X
Family Nurse Practitioner
ARNP9174934
FL
Other
Enumeration date
06/24/2009
Last updated
01/04/2022
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