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Organization

COASTAL DIABETES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY ROWLAND (PRESIDENT)
(850) 243-0483
Entity
Organization

Contact information

Practice address
12 MIRACLE STRIP PKWY SE, SUITE 102, FORT WALTON BEACH, FL 32548-5814
(850) 243-0483
(850) 243-1421
Mailing address
PO BOX 242037, MONTGOMERY, AL 36124-2037
(334) 396-3273
(334) 396-4905

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
08/18/2010
Last updated
08/18/2010
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