Organization
COASTAL ORTHOPEDICS & SPORTS MEDICINE OF SOUTHWEST FL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAIGE LEMAY (CEO)
(941) 792-1404
Entity
Organization
Contact information
Practice address
6202 17TH AVE W, BRADENTON, FL 34209-7838
(941) 792-1404
Mailing address
8000 SR 64 E, BRADENTON, FL 34209
(941) 792-1404
(941) 761-0712
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264533500
—
FL
Enumeration date
01/14/2009
Last updated
02/13/2025
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