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Organization

COASTAL CARDIOLOGY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. A- HAMID I HAKKI M.D. (OWNER)
(727) 424-1166
Entity
Organization

Contact information

Practice address
1508 STURBRIDGE CT, DUNEDIN, FL 34698-2260
(727) 484-1166
Mailing address
1508 STURBRIDGE CT, DUNEDIN, FL 34698-2260
(727) 484-1166

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME50357
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047848200
FL
Enumeration date
11/17/2015
Last updated
11/17/2015
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