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NPI Code Detail

MEDICARE: COASTAL PAIN PHYSICIANS

MEDICARE: COASTAL PAIN PHYSICIANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistME98305FL

General Provider Information

NPI Number : 1013230002
Entity Type Code : Organization
Provider Name (Legal Business Name) : COASTAL PAIN PHYSICIANS
Provider Business Mailing Address
First Line : 12250 TAMIAMI TRL E
Second Line : SUITE 201
City : NAPLES
State : FL
Zip : 34113-8108
Country : US
Telephone Number : 941-228-8990
Fax Number :
Provider Business Practice Location Address
First Line : 12250 TAMIAMI TRL E
Second Line : SUITE 201
City : NAPLES
State : FL
Zip : 34113-8108
Country : US
Telephone Number : 239-207-7125
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. PAUL E BEEBE
Credential : MD
Telephone Number : 941-228-8990
Provider Enumeration Date : 03/05/2010
Last Update Date : 03/05/2010

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Directions to “COASTAL PAIN PHYSICIANS ” Practice Location

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