Coastal Care Corporation in Port St Lucie - Radiology, Mammography
Coastal Care Corporation - NPI 1558320556
Coastal Care Corporation is a Radiology, Mammography in Port St Lucie, Florida. Coastal Care Corporation practices all healthcare services and medical treatments related to Radiology, Mammography. The NPI Number for Coastal Care Corporation is 1558320556. The last update date is 2021-10-08.
Coastal Care Corporation's current location address is 1095 Nw Saint Lucie West Blvd, Port St Lucie, Florida. You can contact this provider via phone number 7727855502 and fax number 7722235622. The mailing address for Coastal Care Corporation is 1095 Nw Saint Lucie West Blvd, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Care Corporation |
|---|---|
| Address | 1095 Nw Saint Lucie West Blvd, Port St Lucie, Florida |
| Phone Number | 7727855502 |
| Fax Number | 7722235622 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Robitaille Mark |
| Telephone Number | 7722875200 |
NPI Number Detail
| NPI Number | 1558320556 |
|---|---|
| Provider Enumeration Date | 2006-03-20 |
| Last Updated Date | 2021-10-08 |
Provider Mailing Address Detail
| Address | 1095 Nw Saint Lucie West Blvd |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349861719 |
| Phone Number | 7727855502 |
| Fax Number | 7722235622 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology, Mammography |
|---|---|
| Taxonomy | 261Qr0206X |
| Licence No | 4102 |
|
Definition: Specializes in breast imaging to screen for and diagnose breast cancer. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CA5218 | FL | RR MEDICARE | |
| V2390 | FL | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Coastal Care Corporation by the Centers for Medicare & Medicaid Services?
The Coastal Care Corporation has been assigned the NPI (National Provider Identifier) 1558320556 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Coastal Care Corporation is physically located?
The Coastal Care Corporation is physically situated at the following address: 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL, 349861719.
What is the Coastal Care Corporation's area of specialization and corresponding taxonomy classification?
The Coastal Care Corporation's specialty field is Radiology, Mammography, and it falls under the taxonomy code 261Qr0206X, which categorizes healthcare providers based on their specialties.
On what date did Coastal Care Corporation receive its 1558320556 assignment from the Centers for Medicare & Medicaid Services?
The Coastal Care Corporation was assigned its 1558320556 on 2006-03-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Coastal Care Corporation last refreshed?
The information related to the Coastal Care Corporation, including its address, specialty, and other relevant details, was last updated on 2021-10-08.
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