Organization
COASTLINE MEDICAL, INC.
Active
Organization
COASTLINE MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL RAY CFO (PRESIDENT)
(757) 275-8050
Entity
Organization
Contact information
Practice address
509 VIKING DR STE E, VIRGINIA BEACH, VA 23452-7323
(757) 275-8050
(888) 600-5328
Mailing address
509 VIKING DR STE E, VIRGINIA BEACH, VA 23452-7323
(757) 275-8050
(888) 600-5328
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
11/29/2023
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