Organization
COASTLINE IMAGING LLC
Active
Other names
Coastline Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DANETTE MICHELLE LAURICIA (CREDENTIALING MANAGER)
(321) 253-2700
Entity
Organization
Contact information
Practice address
1341 MEDICAL PARK DR, STE. 202, MELBOURNE, FL 32901-3235
(321) 253-2700
Mailing address
1341 MEDICAL PARK DR, STE. 202, MELBOURNE, FL 32901-3235
(321) 253-2700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/24/2009
Last updated
10/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us