Coastal Esthetics, LLC
Coastal Esthetics, LLC is an Adult Medicine Physician in Edgewater, Florida. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
109 W Knapp AveEdgewater, FL 32132-1555
Phone: (386) 957-4100
Fax: (386) 957-4104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X |
|---|
Record details
| NPI number | 1114572245 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carissa Peterson — Owner/Aprn · (386) 957-4100 |
| Other names | Coastline Primary Care; Coastline Primary Care |
| NPI enumerated | August 6, 2019 |
| Last updated in NPPES | April 26, 2022 |
| Certification date | April 26, 2022 |
| Mailing address | 109 W Knapp Ave, Edgewater, FL 32132-1555 |
Other providers in Edgewater
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Mrs. Paula Adelle Hall, DO
3048 Silver Palm Dr Ste B, Edgewater, FL 32141 · (386) 209-8634