Coastline Medical Services Pllc
LBN: Coastline Medical Services Pllc
Coastline Medical Services Pllc is an health care organization with primary practice located at 208 Mary Esther Blvd , Mary Esther FL 32569-1687. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty.
Coastline Medical Services Pllc can be contacted via phone (908) 265-8949, or through Tavernaris, Michael via phone (850) 396-1110.
Contact Information
Primary practice address
208 Mary Esther Blvd
Mary Esther FL 32569-1687
Phone: (908) 265-8949
Fax:
Website:
Authorized official contact:
Name: Tavernaris, Michael Doctor of Medicine (MD)
Phone: (850) 396-1110
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | ME116308 | Florida |
Profile Details
| NPI number | 1003361767 |
|---|---|
| LBN Legal business name | Coastline Medical Services Pllc |
| DBA Doing business as | |
| Authorized official | Tavernaris, Michael Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 23rd, 2016 |
| Last updated | Oct 7th, 2019 - about 5 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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