NPIMap

Organization Active NPI

Coastal Infusion LLC

  • Infusion Therapy Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1053128710
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
COASTAL INFUSION LLC
Practice address
9050 Pines Blvd Ste 110
Pembroke Pines, FL 33024-6461
Phone
(954) 361-1000
Fax
(954) 361-8699
NPI assigned
Dec 16, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Nicole Beguiristain
Title
Director of Business Developement
Phone
(786) 394-3063

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

9050 Pines Blvd Ste 110
Pembroke Pines, FL 33024-6461

Mailing address

4331 N Federal Hwy Ste 300
Fort Lauderdale, FL 33308-5252
Phone (954) 361-1000

Other practice location 1

4331 N Federal Hwy Ste 300
Fort Lauderdale, FL 33308-5252
Phone (954) 361-1000

National Provider Directory

National Provider Directory
Tax ID family
Coastal Infusion LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1053128710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 N FEDERAL HWY STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085252",
            "telephone_number": "954-361-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 110",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246461",
            "telephone_number": "954-361-1000",
            "fax_number": "954-361-8699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4331 N Federal Hwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333085252",
            "country_code": "US",
            "telephone_number": "954-361-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "BEGUIRISTAIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPEMENT",
        "authorized_official_telephone_number": "786-394-3063"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.