Coastline Spine & Health Center Vero LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COASTLINE SPINE & HEALTH CENTER VERO LLC

Practice address

974 14TH LN
Vero Beach, FL 32960-4734

Phone

(484) 707-2385

NPI assigned

Sep 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Keith Hurley, DCNPI 1477188688

Title

Ao, Provider Owner

Phone

(484) 707-2385

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Ryan Hurley, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1477188688
  Medicare reassignment Care Compare group NPD Authorized official
• James R Geer, D.C.

  • Chiropractor
  • Melbourne, FL
  • NPI 1053322537
  Medicare reassignment Care Compare group NPD
• Blase Walter Parkinson, DC

  • Chiropractor
  • Sebastian, FL
  • NPI 1205598836
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1396563235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 14TH LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604734",
            "telephone_number": "484-707-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 14TH LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604734",
            "telephone_number": "484-707-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE SPINE & HEALTH CENTER VERO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "AO, PROVIDER OWNER",
        "authorized_official_telephone_number": "484-707-2385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CMM ABA, LLC (Piece of the Puzzle Behavior Analysis)
• Coast Dental P.a. (Coast Dental-Vero Beach)
• Coast Medical Centers, LLC
• Coastal Behavior Analysis, LLC
• Coastal Hearing Care Providers (Coastal Hearing Aid Centers)
• Rachael Ann Cobbs, DO
• Regina Cocci, APRN
• Douglas B Cochran, R.PH.
• William Charles Cochran
• Timothy L Cocks, MD PA

• Chiropractor in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.