Coastal Oxygen & Medical Supply, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1312081 Issued in FL

Legal business name

COASTAL OXYGEN & MEDICAL SUPPLY, LLC

Practice address

2411 Executive Plaza Dr
Pensacola, FL 32504-8269

Phone

(850) 477-9384

Fax

(850) 476-9519

NPI assigned

Jul 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Donald R Padget

Title

Member

Phone

(850) 477-9384

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003848748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 EXECUTIVE PLAZA DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048269",
            "telephone_number": "850-477-9384",
            "fax_number": "850-476-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 EXECUTIVE PLAZA DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048269",
            "telephone_number": "850-477-9384",
            "fax_number": "850-476-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL OXYGEN & MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADGET",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "850-477-9384",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "1312081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger C Clubbs, MD
• CMS Pensacola
• Coastal Cosmetic Family Dentistry
• Coastal Craniofacial, LLC
• Coastal Nursecare of Florida, Inc.
• Coastal Sunshine and Reign
• Coastal Sunshine and Reign
• Coastal Vascular and Interventional PLLC
• Coastal Vascular and Interventional PLLC
• Coastal Vascular and Interventional PLLC

• Oxygen Equipment & Supplies (DME) in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.