| Organization Name: | COAST MEDICAL SERVICES |
| NPI Number: | 1235179680 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROLANDO FUENTES (GENERAL MANAGER) |
| Mailing Address: | 1540 Nw Avenue L Ste 101 Belle Glade |
| State: | FL US |
| Postal Code: | 334301767 |
| Phone Number: | 5619961199 |
| Fax Number: | 5619967722 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 12/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 1312806 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |