Organization · NPI-2

Coastal Medical & Wellness Center, PLLC

Psychiatry & Neurology, Neurology · Stuart, FL

NPI number1679701064
StatusActive
Last updated in NPPESJan 4, 2022

Details

NPI
1679701064
Entity type
Organization (NPI-2)
Legal business name
Coastal Medical & Wellness Center, PLLC
Organization subpart
No
Enumeration date
Jun 24, 2009
Certification date
Jan 4, 2022
Last updated
Jan 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyME104153FLYes
111N00000X ChiropractorCH8186FL
363LF0000X Nurse Practitioner, FamilyARNP9174934FL

Practice location

3257 Se Salerno Rd
Suite 3
Stuart, FL 34997-6736

Phone 772-286-5277 · Fax 772-286-9478

Mailing address

3257 Se Salerno Rd
Suite 3
Stuart, FL 34997-6736

Phone 772-286-5277 · Fax 772-286-9478

Authorized official

Lynne E Atwell
Office Manager
7722865277

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