COASTAL ORTHOPEDICS & SPORTS MEDICINE OF SOUTHWEST FL, PA (NPI# 1811134794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811134794 |
| Entity Type | Organization |
| Organization Name | COASTAL ORTHOPEDICS & SPORTS MEDICINE OF SOUTHWEST FL, PA |
| Practice Address |
5101 4th Avenue Cir E Ste 500 Bradenton FL 34208-5631 |
| Mailing Address |
6015 Pointe West Blvd Bradenton FL 34209-5532 |
| Practice Telephone | 9417921404 |
| Practice Fax Number | 9417610712 |
| Mailing Telephone | 9417921404 |
| Mailing Fax Number | 9417610712 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2020-01-16 |
| NPI Deactivation Date | 07/27/2018 |
| NPI Reactivation Date | 2018-10-10 |
| Authorized Official Name | MRS. PAIGE LEMAY (CEO) |
| Authorized Official Telephone | 9417921404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 264533500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5101 4th Avenue Cir E, Suite 500, Bradenton, FL 342085630 | 9417921404 | 9417610712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568609444 | Coastal Orthopedics & Sports Medicine of Southwest Fl, Pa | Specialist | 8340 Lakewood Ranch Blvd, Suite 340, Lakewood Ranch, FL 34202-5180 | 2009-01-14 |
| Street Address |
5101 4TH AVENUE CIR E STE 500 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568861870 | Spencer G. Combs | Physical Therapist | 5101 4th Avenue Cir E Ste 500, Bradenton, FL 34208-5631 | 2014-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432053 | Elite Anesthesia of Florida LLC | Specialist | 342 Castaway Cay Drive, Bradenton, FL 34209-2209 | 2015-07-14 |
| 1417340969 | Patti L Wood | Specialist | 3931 Riverview Blvd, Bradenton, FL 34209-2000 | 2015-03-09 |
| 1669804613 | Ipm Institute, Inc. | Specialist | 1215 Bayshore Gardens Pkwy, Bradenton, FL 34207-4857 | 2013-08-01 |
| 1477801108 | Justitia Haddad | Specialist | 4312 55th Ave Drive East, Bradenton, FL 34203 | 2012-08-28 |
| 1922374727 | Kristin E Stella | Specialist | 6907 22nd St W, Bradenton, FL 34207-5702 | 2012-03-26 |
| 1033410576 | Florida Coastal Plastic Sugery | Specialist | 5105 Manatee Avenue West, Suit 19, Bradenton, FL 34209-3715 | 2010-11-16 |
| 1659689081 | De'ann Burton | Specialist | 710 137th St Ne, Bradenton, FL 34212-2751 | 2010-09-20 |
| 1831413327 | Richard Rizzuto Md Pa | Specialist | 3938 E State Road 64, Bradenton, FL 34208-9059 | 2010-03-26 |
| 1922333186 | Macula and Diabetic Eye Center LLC | Specialist | 4916 26th St W, Ste 200, Bradenton, FL 34207-1712 | 2009-10-06 |
| 1952574170 | Rosabella Shek, M.d., P.a. | Specialist | 5857b 21st Avenue W., Bradenton, FL 34209-5641 | 2008-04-09 |
| Find all providers in BRADENTON | ||||
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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.