Organization
COASTAL PRACTICE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN LANGLEY (MANAGER)
(941) 302-0215
Entity
Organization
Contact information
Practice address
4949 E STATE ROAD 64, #142, BRADENTON, FL 34208-5530
(941) 302-0215
(941) 896-6531
Mailing address
4949 E STATE ROAD 64, #142, BRADENTON, FL 34208-5530
(941) 302-0215
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/16/2009
Last updated
08/16/2009
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