Organization
COASTAL MOBILE MEDICAL CARE LLC
Active
Other names
Coastal Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN BRATTON (CO-OWNER/NP)
(904) 643-6346
Entity
Organization
Contact information
Practice address
8825 PERIMETER PARK BLVD STE 204, JACKSONVILLE, FL 32216-1126
(904) 643-6346
(904) 441-7554
Mailing address
8825 PERIMETER PARK BLVD STE 204, JACKSONVILLE, FL 32216-1126
(904) 643-6346
(904) 441-7554
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9108134
PA
FL
Enumeration date
05/08/2024
Last updated
08/05/2024
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