NPI 1184805491

Coastline Imaging LLC

Organisation Specialist Melbourne, FL

Practice location

Address: 2290 W Eau Gallie Blvd Suite 108, Melbourne, FL 32935-3133
Phone: (321) 253-2700
Fax: (321) 253-2267
Mailing address: 2290 W Eau Gallie Blvd Suite 104, Melbourne, FL 32935-3133

Authorised official

Name: James Eaker
Title: President
Phone: (321) 253-2700

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence HCC3989 (FL)

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Registry record

NPI: 1184805491
Entity type: Organization
NPI issued: 15 Nov 2007
Record last updated: 28 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.