COASTAL FAMILY PRACTICE & ACUTE CARE CENTER LLC NPI 1639223886

NPI Information

NPI: 1639223886
Provider Name: COASTAL FAMILY PRACTICE & ACUTE CARE CENTER LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2106234

Address:
9961 E COUNTY HIGHWAY 30A
SUITE #5
PANAMA CITY BEACH, FL
ZIP 32413
Phone: (850) 231-9286
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COASTAL FAMILY PRACTICE & ACUTE CARE CENTER LLC is a primary care clinic center in Panama City Beach, FL. COASTAL FAMILY PRACTICE & ACUTE CARE CENTER LLC NPI is 1639223886. The provider is registered as an organization entity type.

The provider's business location address is:

9961 E COUNTY HIGHWAY 30A
SUITE #5
PANAMA CITY BEACH, FL
ZIP 32413-282
Phone: (850) 231-9286
Fax: (850) 231-9287

The provider's authorized official is William Robert Marshall .
The authorized official title is Billing Manager and has the following contact phone number (850) 231-9286.

The CLIA number assigned to this NPI record is 10D2106234 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 7/7/2010.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 11/14/2023

NPI Synchronization or Removal

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