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Organization

COASTAL CARDIOVASCULAR SURGEONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN M KESSINGER MD (PRESIDENT)
(850) 785-9559
Entity
Organization

Contact information

Practice address
801 E 6TH ST, SUITE 309, PANAMA CITY, FL 32401-3661
(850) 785-9559
(850) 785-7747
Mailing address
801 E 6TH ST, SUITE 309, PANAMA CITY, FL 32401-3661
(850) 785-9559
(850) 785-7747

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0049047
FL
174400000X
Specialist
ME66118
FL
174400000X
Specialist
ME66264
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04997Z
MEDICARE PROVIDER NUMBER
01
25247Z
MEDICARE PROVIDER NUMBER
FL
01
32993C
MEDICARE PROVIDER NUMBER
FL
01
77694
MEDICARE GROUP PROVIDER
FL
Enumeration date
09/06/2007
Last updated
09/06/2007
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