Organization
COASTAL DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN LANCE (CEO)
(850) 481-1117
Entity
Organization
Contact information
Practice address
231 SOUTHWOOD DR, PANAMA CITY, FL 32405-4905
(850) 481-1117
(850) 373-4858
Mailing address
7113 LAGOON DR, PANAMA CITY BEACH, FL 32408-5509
(850) 481-1117
(850) 373-4858
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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