Organization
COASTAL CARE MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MELISSA HOGAN (PRESIDENT)
(386) 864-7145
Entity
Organization
Contact information
Practice address
#2B, 1 HARGROVE GRDE, PALM COAST, FL 32137
(386) 864-7145
Mailing address
PO BOX 350382, PALM COAST, FL 32135-0382
(386) 864-7145
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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