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Contact Information

COASTLINE IMAGING LLC
2290 W EAU GALLIE BLVD STE 104
MELBOURNE, FL32935-3134
 Phone: 321-253-2700
 Fax: 321-253-2267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
Indicates primary specialty

NPI Profile & details for COASTLINE IMAGING LLC · (Female)

NPI Number 1770576167
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2005
Last updated 07/11/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # HCC3989
  • FL Other V2122 BCBS FL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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