Coast 2 Coast Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COAST 2 COAST MEDICAL LLC

Practice address

2637 Jupiter Way
The Villages, FL 32163-6334

Phone

(720) 581-4607

Fax

(888) 373-0502

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Patrick S Courtney

Title

Owner

Phone

(720) 581-4607

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1235776188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 JUPITER WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321636334",
            "telephone_number": "720-581-4607",
            "fax_number": "888-373-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 JUPITER WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321636334",
            "telephone_number": "720-581-4607",
            "fax_number": "888-373-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST 2 COAST MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-581-4607"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E Clifford, MD
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• Kim M Coffey
• Laura Megan Coffin, APRN
• Michele A Cofield, M.D.
• Cogent Healthcare of Pensacola LLC
• Loren Cedar Cole, OCCUPATIONAL THERAPI

• Durable Medical Equipment & Medical Supplies in The Villages, FL
• Providers in The Villages, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.