Coast Family Care Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

COAST FAMILY CARE GROUP LLC

Doing business as

Sunshine Primary Care

Practice address

451 SW Bethany Dr Ste 103
Port Saint Lucie, FL 34986-1964

Phone

(832) 867-8019

NPI assigned

Mar 12, 2012

Last updated

Jun 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Denis A Vilchez, MDNPI 1548332943

Title

Owner

Phone

(832) 867-8019

Specialties & licenses 1

Addresses

Other names 1

• Sunshine Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Denis A Vilchez, M.D.

  • General Practice Physician
  • Port Saint Lucie, FL
  • NPI 1548332943
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1396010120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SW BETHANY DR STE 103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861964",
            "telephone_number": "832-867-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SW BETHANY DR STE 103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861964",
            "telephone_number": "832-867-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST FAMILY CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "VILCHEZ",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-867-8019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.