Organization
ATLANTIC UROLOGY CLINICS LLC
Active
Other names
Coastal Comprehensive Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIM COMMINS (CEO)
(239) 931-7277
Entity
Organization
Contact information
Practice address
199 VILLAGE CENTER BLVD, SUITE 100, MYRTLE BEACH, SC 29579-3589
(239) 931-7342
(239) 931-7385
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
02/17/2014
Last updated
07/29/2019
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