Active NPI
Coastal Cardiology and Preventive Medicine Institute LLC
- Interventional Cardiology Physician
- Naples, FL
National Provider Identifier
1558245035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- COASTAL CARDIOLOGY AND PREVENTIVE MEDICINE INSTITUTE LLC
- Practice address
- 2575 Northbrooke Plaza Dr Unit 207
Naples, FL 34119-8099 - Phone
- (239) 919-4342
- NPI assigned
- Aug 5, 2025
- Last updated
- Aug 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marci Charland
- Title
- Credentialing Manager
- Phone
- (231) 638-1853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | Primary |
Addresses
Primary practice location
2575 Northbrooke Plaza Dr Unit 207
Naples, FL 34119-8099
Mailing address
2338 Immokalee Rd # 203
Naples, FL 34110-1445
Phone (239) 919-4342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Interventional Cardiology Physician
- Naples, FL
- NPI 1669419990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754352000000",
"number": "1558245035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2338 IMMOKALEE RD # 203",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101445",
"telephone_number": "239-919-4342",
"fax_number": "239-919-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 NORTHBROOKE PLAZA DR UNIT 207",
"city": "NAPLES",
"state": "FL",
"postal_code": "341198099",
"telephone_number": "239-919-4342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL CARDIOLOGY AND PREVENTIVE MEDICINE INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-05",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A",
"authorized_official_last_name": "CHARLAND",
"authorized_official_first_name": "MARCI",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "231-638-1853"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
- Cna Homecare Network LLC
- Coast Dental P.a. (Coast Dental-Naples)
- Coast Florida P.a. (Coast Dental-Golden Gate)
- Coastal Anesthesia & Pain Associates, PLLC
- Coastal Behavioral Health Group LLC
- Coastal Care Medical Supply, Inc. (HME Partners)
- Coastal Chiropractic and Wellness by. Dr. Ourganian
- Coastal Pain Physicians
- Coastal Premier Medical Care
- Jennifer Leigh Coates, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.