Paradise Coast Medical Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PARADISE COAST MEDICAL GROUP LLC

Practice address

10979 Lost Lake Dr Apt 221
Naples, FL 34105-3169

Phone

(561) 662-4050

NPI assigned

Jul 14, 2023

Organization subpart

No

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

Authorized official

Name

Jason RichichiNPI 1568172617

Title

Executive Director

Phone

(843) 749-2220

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Richichi

  • Health & Wellness Coach
  • Naples, FL
  • NPI 1568172617
  NPD Authorized official

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1033898309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10979 LOST LAKE DR APT 221",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341053169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10979 LOST LAKE DR APT 221",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341053169",
            "telephone_number": "561-662-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE COAST MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "RICHICHI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-749-2220"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Rahimian Papenfuss, DMD
• Charles E Pappas, M.D.
• Paradise Coast Breast Specialists LLC
• Paradise Coast Cardiology
• Paradise Coast Dental Arts, LLC
• Paradise Coast Speech Therapy, LLC
• Paradise Home Health LLC
• Paradise Medical Rehab LLC
• Parallel 26 Management Services, LLC.
• Michael James Paralovos, D.C.

• General Practice Physician in Naples, FL
• Providers in Naples, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.