Coastal Heart & Vascular Institute PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COASTAL HEART & VASCULAR INSTITUTE PA

Practice address

2500 Bobcat Village Center Rd
Unit G
North Port, FL 34288-8476

Phone

(407) 963-3943

Fax

(407) 400-7966

NPI assigned

Sep 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Maritza Jara, MD

Title

President

Phone

(407) 963-3943

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1104251230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BOBCAT VILLAGE CENTER RD",
            "address_2": "UNIT G",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888476",
            "telephone_number": "407-963-3943",
            "fax_number": "407-400-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BOBCAT VILLAGE CENTER RD",
            "address_2": "UNIT G",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888476",
            "telephone_number": "407-963-3943",
            "fax_number": "407-400-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEART & VASCULAR INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "JARA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARITZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-963-3943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy M Clark
• Classique Concierge Home Healthcare LLC
• Ariana Rachel Clayton, DMD
• Christina M Clayton
• Sara Clayton
• Coates Bright Bay LLC
• Kaleb Cody
• Donald Dean Cofield, M.D.
• Michelle Coker
• Ashley Megan Colby, DMD

• Specialist in North Port, FL
• Providers in North Port, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.