Coastal Complete Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

OS9746 Issued in FL

Legal business name

COASTAL COMPLETE CARE

Practice address

1706 S Jefferson St
Perry, FL 32348-5611

Phone

(850) 584-6000

Fax

(850) 584-6001

NPI assigned

Jul 16, 2015

Last updated

Jul 16, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

COASTAL COMPLETE CAREAs reported in NPPES

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

Authorized official

Name

Dr. Ronald Emerick Jr., D.O.

Title

Co-Owner, Medical Director

Phone

(850) 584-6000

Specialties & licenses 1

Addresses

Other names 1

• Primary Care Other name

Part of

Coastal Complete Care PA

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Coastal Complete Care, PA

  • Chiropractor
  • Perry, FL
  • NPI 1720483043
  NPPES parent name

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1083098388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PLANTATION RD",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323486000",
            "telephone_number": "850-584-6000",
            "fax_number": "850-584-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323485611",
            "telephone_number": "850-584-6000",
            "fax_number": "850-584-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COMPLETE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL COMPLETE CARE",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "EMERICK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CO-OWNER, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "850-584-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "OS9746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Britnee Cash
• Sarah Elizabeth Cayson, APRN
• Ceejay Doula Services LLC
• Sarah E Chipps-Walton, ARNP
• Christopher Lynn Chiropractic LLC (Gulf Coast chiropractic llc)
• Coastal Complete Care, PA
• Earl H Cobb Jr.
• Compassionate Adult Cares Services, LLC
• Evan Courtney, DC
• William Devan Courtney

• Primary Care Clinic/Center in Perry, FL
• Providers in Perry, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.