COASTAL COMPLETE CARE PA NPI 1720483043

NPI Information

  • NPI: 1720483043
  • Provider Name: COASTAL COMPLETE CARE, PA
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • CLIA Number: 10D2088122
  • Address: 100 PLANTATION RD
    PERRY, FL
    ZIP 32348
  • Phone: (850) 584-6000

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NPI Details

COASTAL COMPLETE CARE, PA is a chiropractor in Perry, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. COASTAL COMPLETE CARE, PA NPI is 1720483043. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 PLANTATION RD
PERRY, FL
ZIP 32348-000
Phone: (850) 584-6000

The provider's authorized official is Jamie Portwood .
The authorized official title is Billing Manager and has the following contact phone number (850) 584-6000.

The CLIA number assigned to this NPI record is 10D2088122 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2014 and was last updated on 10/18/2018.

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
1208D00000XGeneral PracticeFLORIDANo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3111N00000XChiropractorFLORIDAYes

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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