COASTAL HEALTHCARE PARTNERS, LLC (NPI# 1053762740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053762740 |
| Entity Type | Organization |
| Organization Name | COASTAL HEALTHCARE PARTNERS, LLC |
| Practice Address |
50 Leanni Way Suite D1 Palm Coast FL 32137 |
| Practice Telephone | 3862835997 |
| Practice Fax Number | 3862835652 |
| Mailing Telephone | (386) 283-5997 |
| Mailing Fax Number | 3862835652 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | MICHAEL ALLEN OSBORNE (OWNER) |
| Authorized Official Telephone | 3862835997 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME101968 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
50 LEANNI WAY SUITE D1 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104847466 | Patricia Isabel Modad | Obstetrics & Gynecology | 50 Leanni Way, Suites A3 & A4, Palm Coast, FL 32137-4751 | 2006-07-22 |
| 1295241289 | Mary Meaders Gerber, Lcsw, Inc. | Social Worker | 50 Leanni Way, Ste B-3, Palm Coast, FL 32137 | 2017-12-28 |
| 1427487032 | Mary Meaders Gerber | Social Worker | 50 Leanni Way, Suite B3, Palm Coast, FL 32137-4751 | 2013-11-04 |
| 1639450034 | Inner Dynamics, LLC | Social Worker | 50 Leanni Way, Suite B-3, Palm Coast, FL 32137-4751 | 2011-08-30 |
| 1942590401 | Patricia Modad, Md, Pa | Obstetrics & Gynecology | 50 Leanni Way, Suites A3 & A4, Palm Coast, FL 32137-4751 | 2011-04-18 |
| 1497987135 | Bernadette Hristakopoulos | Chiropractor | 50 Leanni Way, Suite D1, Palm Coast, FL 32137-4751 | 2009-08-13 |
| 1205009255 | Sibel N Guelseren | Counselor | 50 Leanni Way, Suite B-3, Palm Coast, FL 32137-4751 | 2008-04-10 |
| 1205012689 | Michael A Osborne Jr. | Chiropractor | 50 Leanni Way, Unit D1, Palm Coast, FL 32137-4756 | 2008-01-15 |
| 1518017292 | John Laforte | Social Worker | 50 Leanni Way, Suite B-3, Palm Coast, FL 32137-4751 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508002395 | Yesenia E Justiniano Rosario | General Practice | 2 Mccormick Dr, Palm Coast, FL 32164-2352 | 2008-12-28 |
| 1629032974 | Jerry L Waikins | General Practice | 120 Cypress Edge Dr Ste 102, Palm Coast, FL 32164-8454 | 2006-04-13 |
| 1780645903 | Alex Ramon Taveras-cruz | General Practice | 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137-8217 | 2006-03-29 |
| 1831311810 | Palm Harbor Family Practice and Walk In Clinic Pa | General Practice | 9 Pine Cone Dr, Suite 102, Palm Coast, FL 32137-8686 | 2007-05-02 |
| 1225131477 | Ardent Family Care Pa | General Practice | 84 Pinnacles Dr Ste 200, Palm Coast, FL 32164-2324 | 2006-09-06 |
| 1124039409 | Rommelle Von Such | General Practice | 1 Florida Park Dr N, Suite 109-110, Palm Coast, FL 32137-3852 | 2006-08-11 |
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| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32137 |
Please comment or provide details below to improve the information on COASTAL HEALTHCARE PARTNERS, LLC.
| 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.