COASTAL NEURO CARE NPI 1336085745

NPI Information

  • NPI: 1336085745
  • Provider Name: COASTAL NEURO CARE
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 868 SHORELINE CIR
    PONTE VEDRA BEACH, FL
    ZIP 32082
  • Phone: (904) 866-9551

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NPI Details

COASTAL NEURO CARE is a neurology psychiatry neurology in Ponte Vedra Beach, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. COASTAL NEURO CARE NPI is 1336085745. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

868 SHORELINE CIR
PONTE VEDRA BEACH, FL
ZIP 32082-741
Phone: (904) 866-9551

The provider's authorized official is Amy Grobstick .
The authorized official title is President and has the following contact phone number (904) 866-9551.

The enumeration date for this NPI number is 4/27/2026 and was last updated on 4/27/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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