Organization
COASTAL FAMILY MEDICINE PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA S MAULE M.D. (PRESIDENT/OWNER)
(941) 684-0842
Entity
Organization
Contact information
Practice address
1500 E VENICE AVE, SUITE 204, VENICE, FL 34292-1662
(941) 484-1444
(941) 484-3444
Mailing address
1500 E VENICE AVE, SUITE 204, VENICE, FL 34292-1662
(941) 484-1444
(941) 484-3444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME94581
FL
Other
Enumeration date
08/23/2011
Last updated
10/19/2011
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