RIVERCOAST ANESTHESIA P.A. NPI 1609252188

NPI Information

  • NPI: 1609252188
  • Provider Name: RIVERCOAST ANESTHESIA, P.A.
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • Doing Business As: RIVERCOAST PAIN MANAGEMENT
  • CLIA Number: 10D2082720
  • Address: 1899 MURRELL RD STE 130
    ROCKLEDGE, FL
    ZIP 32955
  • Phone: (321) 305-5987

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NPI Details

RIVERCOAST ANESTHESIA, P.A. is a pain clinic center in Rockledge, FL. RIVERCOAST ANESTHESIA, P.A. NPI is 1609252188. The provider is registered as an organization entity type.
The provider Is Doing Business As Rivercoast Pain Management.

The provider's business location address is:

1899 MURRELL RD STE 130
ROCKLEDGE, FL
ZIP 32955-285
Phone: (321) 305-5987
Fax: (321) 338-2977

The provider's authorized official is Michael Delano Willis .
The authorized official title is President and has the following contact phone number (321) 305-5987.

The CLIA number assigned to this NPI record is 10D2082720 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2015 and was last updated on 8/6/2015.

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
1261QP3300XClinic/CenterPain11323FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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