Organization
ATLANTIC COAST MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA KENNEDY-CROSBY (MEMBER MANAGER)
(800) 465-3203
Entity
Organization
Contact information
Practice address
1010 10TH AVE N STE 2, LAKE WORTH, FL 33460-2167
(561) 215-5067
Mailing address
1010 10TH AVE N STE 2, LAKE WORTH, FL 33460-2167
(561) 215-5067
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
10/26/2020
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