Coastal Primary Care and Wellness LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COASTAL PRIMARY CARE AND WELLNESS LLC

Practice address

507 Winterside Dr
Apollo Beach, FL 33572-3425

Phone

(571) 999-2728

Fax

(813) 742-4942

NPI assigned

Jan 7, 2025

Organization subpart

No

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

Authorized official

Name

Daniel Bryan Hughes

Title

Ceo

Phone

(571) 999-2728

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1295545846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 WINTERSIDE DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723425",
            "telephone_number": "571-999-2728",
            "fax_number": "813-742-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WINTERSIDE DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723425",
            "telephone_number": "571-999-2728",
            "fax_number": "813-742-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PRIMARY CARE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-999-2728"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Apollo Beach, FL
• Providers in Apollo Beach, 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 Jan 7, 2025; 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.