Organization
COASTAL HEALTHCARE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL KENNA (MANAGING MEMBER)
(321) 385-9752
Entity
Organization
Contact information
Practice address
3435 S HOPKINS AVE, SUITE 3, TITUSVILLE, FL 32780-5656
(321) 385-9752
Mailing address
PO BOX 10216, TITUSVILLE, FL 32783-0216
(321) 385-9752
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/10/2009
Last updated
10/17/2011
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