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Contact Information

COASTAL MOBILE ULTRASOUND
4 LONG LAKE WAY
PALM COAST, FL32137-1617
 Phone: 904-494-8560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Ultrasound

2085U0001X
Indicates primary specialty

NPI Profile & details for COASTAL MOBILE ULTRASOUND

NPI # 1376228429
LBN Legal business name COASTAL MOBILE ULTRASOUND
Authorized official VANESSA FERKETICH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2023
Last updated 06/16/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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