COASTAL IMAGING INC (NPI# 1053583526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053583526 |
| Entity Type | Organization |
| Organization Name | COASTAL IMAGING INC |
| Practice Address |
20020 Veterans Blvd Port Charlotte FL 33954-2112 |
| Mailing Address |
26092 Ocelot Ln Punta Gorda FL 33983-6131 |
| Practice Telephone | 9416299877 |
| Practice Fax Number | 9417660001 |
| Mailing Telephone | 9416299877 |
| Mailing Fax Number | 9417660001 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | LISA BOUCHER (ULTRASOUND TECH) |
| Authorized Official Telephone | 9414212116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
53741 | MA | Ambulatory Health Care Facilities |
| Street Address |
20020 VETERANS BLVD |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33954-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346231016 | South Florida Diagnostic Associates | Clinic/Center | 20020 Veterans Blvd, Suite 20, Port Charlotte, FL 33954-2114 | 2005-11-02 |
| 1326349002 | Ariel Robarge | Dietitian, Registered | 20020 Veterans Blvd, Suite 12, Port Charlotte, FL 33954-2112 | 2010-11-11 |
| 1144521824 | Ariel Eve Health Inc | Dietitian, Registered | 20020 Veterans Blvd, Suite 12, Port Charlotte, FL 33954-2112 | 2010-11-11 |
| 1225263890 | Eduardo Carmona Md Pa | Psychiatry & Neurology | 20020 Veterans Blvd, Suite 12, Port Charlotte, FL 33954-2112 | 2009-05-26 |
| 1922295393 | Eduardo Carmona | Psychiatry & Neurology | 20020 Veterans Blvd, Suite 12, Port Charlotte, FL 33954-2112 | 2007-10-01 |
| 1518033778 | Phyllis Ellen Stevens | Counselor | 20020 Veterans Blvd, Unit 2, Port Charlotte, FL 33954-2112 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043740665 | Criselda Veronica Romero | Home Health Aide | 24009 Madaca Lane, Apt 104, Port Charlotte, FL 33954 | 2017-06-15 |
| 1942469234 | Johanny Vizcarrondo Colon | Physical Therapist | 24011 Madaca Lane # 108, Port Charlotte, FL 33954 | 2008-06-03 |
| 1467638163 | Qrs LLC | Clinic/Center | 17218 Toledo Blade Blvd., Unit 7, Port Charlotte, FL 33954 | 2008-01-14 |
| 1023199155 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 18500 Veterans Boulevard, Unit 4, Port Charlotte, FL 33954 | 2006-10-17 |
| 1174577290 | Karen Kalbfeld | Nurse Anesthetist, Certified Registered | 327 Kindred Blvd, Port Charlotte, FL 33954 | 2006-05-22 |
| 1518425081 | Annette Simmons | Custodial Care Facility | 1292 Dorchester St, Port Charlotte, FL 33954 | 2019-03-04 |
| 1942319744 | Lifeline Health Care of Southwest Florida, Inc. | Home Health | 630a Woodbury Dr, Port Charlotte, FL 33954-1000 | 2006-08-29 |
| 1154617553 | Anthony Richard La Forgia | Counselor | 630a Woodbury Dr, Port Charlotte, FL 33954-1000 | 2011-06-23 |
| 1780227199 | Sergio Pedro Castro | Behavioral Analyst | 18245 Paulson Dr Ste 113, Port Charlotte, FL 33954-1019 | 2019-10-18 |
| 1295201846 | Grissel Alfonso Gonzalez | Behavior Technician | 18245 Paulson Dr Ste 130, Port Charlotte, FL 33954-1019 | 2018-10-22 |
| Find all providers in zip 33954 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710200845 | Partners Imaging Center of Charlotte LLC | Clinic/Center | 4161 Tamiami Trl Ste 204, Port Charlotte, FL 33952-9204 | 2010-03-03 |
| 1346443819 | Sara Radiology Inc | Clinic/Center | 2400 Harbor Blvd, Unit #7, Port Charlotte, FL 33952-5052 | 2007-06-11 |
| 1730288515 | Sharper Imaging Diagnostic Radiology Center Inc | Clinic/Center | 3430 Tamiami Trl, Suite B, Port Charlotte, FL 33952-8127 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053223 | Sheridan-pines Mri, LLC | Clinic/Center | 19442 Sheridan Street, Pembroke Pines, FL 33332 | 2020-11-06 |
| 1114535762 | Coral Hills Imaging LLC | Clinic/Center | 9690 W Sample Rd Ste 103, Coral Springs, FL 33065-4031 | 2020-07-20 |
| 1659990364 | Provectus Health LLC | Clinic/Center | 3972 Durksly Dr, Melbourne, FL 32940-1286 | 2020-04-13 |
| 1619500881 | Adventhealth West Florida Imaging, Inc. | Clinic/Center | 305 E Brandon Blvd Ste B, Brandon, FL 33511-5222 | 2020-02-17 |
| 1831736768 | Bria Group Inc | Clinic/Center | 880 Nw 13th St Ste 100, Boca Raton, FL 33486-2342 | 2019-12-10 |
| 1235770686 | Clermont Radiology LLC | Clinic/Center | 18 Ne 1st Ave, Ocala, FL 34470-6658 | 2019-10-07 |
| 1609422146 | Dis of Tampa Bay Inc | Clinic/Center | 3635 W Waters Ave, Tampa, FL 33614-2783 | 2019-08-12 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1417518481 | Ohri, LLC | Clinic/Center | 5151 Winter Garden Vineland Road., Suite 104, Windermere, FL 34786 | 2019-06-21 |
| 1093273971 | Alfa Diagnostic LLC | Clinic/Center | 21355 E Dixie Hwy Ste 107, Aventura, FL 33180-1239 | 2019-03-09 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33954 |
Please comment or provide details below to improve the information on COASTAL IMAGING INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.