COASTAL INTERNAL MEDICINE SPECIALISTS LLC
Osteopathic Medicine at Clyde Morris Blvd, Ormond Beach, FL

License number
Florida ME00611433
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. MICHAEL E TOWNSEND M.D.
Title: PRESIDENT
Phone: (386) 672-3219
Address
Address
335 Clyde Morris Blvd SUITE 290, Ormond Beach, FL 32174
National Provider ID: 1699950493
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Coastal Internal Medicine Specialists, LLC

335 Clyde Morris Blvd, Ormond Beach, FL 32174

Registration:
Nov 27, 2001
State ID:
L01000006940
Business type:
Florida Limited Liability
President, Vice Presidents:
Michael E. Townsend (President),Mark W. Lastarza (Treasurer),Michael R. Dimayuga President, Vice President, inactive

Coastal Internal Medicine Specialist LLC

335 Clyde Morris Blvd, Ormond Beach, FL 32174

Industry:
Medical Doctor's Office
Phone:
(386) 672-3219 (Phone)
Medical Doctors:
Michael R. Dimayuga (Member),Michael E. Townsend (Member, Internal Medicine, Medical Doctor, President),Mark W. Lastarza (Internal Medicine, Medical Doctor),...

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