Coastal Pediatrics Llc

LBN: Coastal Pediatrics Llc
Coastal Pediatrics Llc is an health care organization with primary practice located at 1275 W Granada Blvd Ste 3A, Ormond Beach FL 32174-8259. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Coastal Pediatrics Llc can be contacted via phone (386) 672-1490, or through Jeanty, Jean-Claude via phone (386) 672-1490.

Contact Information

Primary practice address
1275 W Granada Blvd Ste 3A Ormond Beach FL 32174-8259
Fax: (386) 672-1682
Website:
Authorized official contact:
Name: Jeanty, Jean-Claude Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1831199710
LBN Legal business name Coastal Pediatrics Llc
DBA Doing business as
Authorized official Jeanty, Jean-Claude Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831199710 NPPES
Florida Other 761792 FIRST HEALTH
Florida Other 6633914-001 FIRST HEALTH
Florida Other 759373 FIRST HEALTH
Florida Other 1202000 FIRST HEALTH
Florida Other 26333 FIRST HEALTH
Florida Other 5907098 FIRST HEALTH
Florida Other F95182 FIRST HEALTH

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