COASTAL SKILLED CARE PROVIDERS LLC
Osteopathic Medicine at Timothy St, Ormond Beach, FL

License number
Florida ME98984
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. LOTHAR MICHAEL GEBAUER MD
Title: OFFICER
Phone: (407) 496-9399
Address
Address
767 Timothy St, Ormond Beach, FL 32174
National Provider ID: 1508272683
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Coastal Skilled Care Providers , LLC

767 Timothy St, Ormond Beach, FL 32174

Registration:
Feb 11, 2014
State ID:
L14000024651
Business type:
Florida Limited Liability
Lothar M. Gebauer

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