COASTAL CARE CORPORATION (NPI# 1366469975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366469975 |
| Entity Type | Organization |
| Organization Name | COASTAL CARE CORPORATION |
| Other Organization Name | CLEVELAND CLINIC IMAGING |
| Practice Address |
2100 Se Salerno Rd Stuart FL 34997-6503 |
| Mailing Address |
Po Box 959 Stuart FL 34995-0959 |
| Practice Telephone | 7722235767 |
| Practice Fax Number | 7722235622 |
| Mailing Telephone | 7722234903 |
| Mailing Fax Number | 7722235622 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | MR. ROB LORD (PRESIDENT/CEO) |
| Authorized Official Telephone | 7722234903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
4102 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | CA5218 | 01 |
| Other Name | Type Code |
|---|---|
| CLEVELAND CLINIC IMAGING | Doing Business As Name - Organization |
| MARTIN HEALTH SYSTEM DIAGNOSTIC SERVICES | Doing Business As Name - Organization |
| MARTIN MEMORIAL MRI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801129747 | Coastal Care Corporation | Clinic/Center | 1651 Se Tiffany Ave Ste 100, Port St Lucie, FL 34952-7564 | 2009-09-10 |
| 1629097076 | Coastal Care Corporation | Non-emergency Medical Transport (VAN) | 2150 Se Salerno Rd, Stuart, FL 34997-6572 | 2006-07-18 |
| 1578598793 | Coastal Care Corporation | Clinic/Center | 625 Se Riverside Dr, Stuart, FL 34994-2502 | 2006-07-12 |
| 1831168533 | Coastal Care Corporation | Clinic/Center | 3801 S Kanner Hwy Ste 102, Stuart, FL 34994-4801 | 2006-03-15 |
| 1396252821 | Coastal Care Corporation | Clinic/Center | 625 Se Riverside Dr, Stuart, FL 34994-2502 | 2018-01-05 |
| 1821147059 | Coastal Care Corporation | Family Medicine | 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1719 | 2007-01-09 |
| 1194873018 | Coastal Care Corporation | Family Medicine | 11600 Se Federal Hwy, Hobe Sound, FL 33455-5213 | 2007-01-08 |
| 1568510618 | Coastal Care Corporation | Family Medicine | 3066 Sw Martin Downs Blvd, Unit 6 Ste B, Palm City, FL 34990-2683 | 2007-01-08 |
| 1609989391 | Coastal Care Corporation | Clinic/Center | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2006-08-16 |
| 1316966336 | Coastal Care Corporation | Clinic/Center | 509 Se Riverside Dr, Stuart, FL 34994-2579 | 2006-07-19 |
| Street Address |
2100 SE SALERNO RD |
| City | STUART |
| State | FL |
| Zip Code | 34997-6503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193684 | Gregory Michael Blake | Pharmacist | 2100 Se Salerno Rd, Stuart, FL 34997-6503 | 2020-04-20 |
| 1972166122 | Michael Mann | Physical Therapist | 2100 Se Salerno Rd, Stuart, FL 34997-6503 | 2019-04-15 |
| 1578066601 | Brittany Gillespie | Nurse Practitioner | 2100 Se Salerno Rd, Stuart, FL 34997 | 2018-03-15 |
| 1326178088 | Stuart Emergency Physicians | Emergency Medicine | 2100 Se Salerno Rd, Stuart, FL 34997-6503 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578598793 | Coastal Care Corporation | Clinic/Center | 625 Se Riverside Dr, Stuart, FL 34994-2502 | 2006-07-12 |
| 1225224207 | Monterey Mri, Inc | Clinic/Center | 901 Se Monterey Commons Blvd, Stuart, FL 34996-3352 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700176 | Mri Associates of Crystal River | Clinic/Center | 6136 W Gulf To Lake Hwy, Crystal River, FL 34429-7558 | 2020-11-04 |
| 1477168714 | Indago Imaging | Clinic/Center | 3716 W 12th Ave, Hialeah, FL 33012-4126 | 2020-09-14 |
| 1417577669 | Ahc Diagnostic and Imaging Services | Clinic/Center | 8000 Sw 67th Avenue, Miami, FL 33143 | 2020-04-17 |
| 1548880784 | Lee County Mri Inc | Clinic/Center | 2215 Winkler Ave Ste G, Fort Myers, FL 33901-9150 | 2020-04-17 |
| 1053942383 | Musculoskeletal Institute Chartered | Clinic/Center | 2044 Trinity Oaks Blvd Ste 110, Trinity, FL 34655-4405 | 2020-01-27 |
| 1407497647 | Proscan Imaging Naples LLC | Clinic/Center | 8340 Sierra Meadows Blvd Ste 103, Naples, FL 34113-7328 | 2019-09-30 |
| 1851940100 | Express Medical Imaging, LLC | Clinic/Center | 6300 Saint Johns Ave, Palatka, FL 32177-3884 | 2019-09-10 |
| 1104478601 | Flagler Mri Diagnostic Inc | Clinic/Center | 8000 W Flagler St Ste 102, Miami, FL 33144-2157 | 2019-07-15 |
| 1205497260 | South Miami Open Mri LLC | Clinic/Center | 6161 Sunset Dr Ste A, South Miami, FL 33143-5045 | 2019-06-21 |
| 1215592829 | Advance Scans & Imaging Center Inc. | Clinic/Center | 2453 N State Road 7, Lauderdale Lakes, FL 33313-3723 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
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| 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.