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Contact Information

COASTAL FOOT CENTER LLC
9912 DIMITRIOS AVE
STE 103
DAPHNE, AL36526-9569
 Phone: 251-626-6550
 Fax: 833-254-2641
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for COASTAL FOOT CENTER LLC · (Female)

NPI Number 1437459732
Status Active
Credentials
Entity Individual
Enumeration date 11/02/2010
Last updated 06/03/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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