Provider Demographics
NPI:1194913426
Name:EAST COAST MEDICAL STAFFING INC
Entity type:Organization
Organization Name:EAST COAST MEDICAL STAFFING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BREWSTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:386-597-5722
Mailing Address - Street 1:145 CYPRESS POINT PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-8426
Mailing Address - Country:US
Mailing Address - Phone:386-597-5722
Mailing Address - Fax:386-597-5723
Practice Address - Street 1:145 CYPRESS POINT PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-8426
Practice Address - Country:US
Practice Address - Phone:386-597-5722
Practice Address - Fax:386-597-5723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0000000000OtherDO HAVE A NUMBER