Coastal Care Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1996125033 Issued in FL

Legal business name

COASTAL CARE CORPORATION

Doing business as

Martin Memorial Medicenter of Hobe Sound

Practice address

11600 SE Federal Hwy
Hobe Sound, FL 33455-5213

Phone

(772) 223-4940

Fax

(772) 223-4944

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Kevin Litke

Title

Manager

Phone

(772) 223-4940

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MARTIN MEMORIAL MEDICENTER OF HOBE SOUND Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1194873018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-5665",
            "fax_number": "772-223-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 SE FEDERAL HWY",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555213",
            "telephone_number": "772-223-4940",
            "fax_number": "772-223-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "LITKE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-223-4940"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "1996125033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064696202",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTIN MEMORIAL MEDICENTER OF HOBE SOUND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clifford Walter Churchill Jr., LMHC
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• Danielle Corter
• Joseph Creps, PHARM.D
• Crossroads Consulting International LLC
• John C Crouch, D.O.

• Family Medicine Physician in Hobe Sound, FL
• Providers in Hobe Sound, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.