Coastal Care Corporation

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

1998122013 Issued in FL

Legal business name

COASTAL CARE CORPORATION

Doing business as

Martin Memorial Medicenter of Palm City

Practice address

3066 SW Martin Downs Blvd
Unit 6 Ste B
Palm City, FL 34990-2683

Phone

(772) 781-2781

Fax

(772) 781-2782

NPI assigned

Jan 8, 2007

Last updated

Oct 3, 2019By 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

Robert Lester Lord

Title

President

Phone

(772) 223-5945

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MARTIN MEMORIAL MEDICENTER OF PALM CITY Doing business as

Electronic endpoints 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

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1568510618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-2832",
            "fax_number": "772-223-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 SW MARTIN DOWNS BLVD",
            "address_2": "UNIT 6 STE B",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902683",
            "telephone_number": "772-781-2781",
            "fax_number": "772-781-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-223-5945"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "1998122013",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "1998122013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064696203",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MHS@DIRECT.MARTINHEALTH.ORG",
            "affiliation": "N",
            "address_1": "3066 SW Martin Downs Blvd",
            "address_2": "UNIT 6 STE B",
            "city": "Palm City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349902683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MARTIN MEMORIAL MEDICENTER OF PALM CITY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MARTIN MEMORIAL MEDICENTER OF PALM CITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanette Doyle Claus, MS, CCC/SLP
• Clearview Ultrasound LLC
• Clinical Care Solutions LLC
• Candra Nycole Clyne, RBT
• Charlotte Slattum Clynes, LICENSED MASSAGE THE
• Zathalithia Coke
• Collective Aesthetics & Regenerative Medicine PLLC
• Wykesha Collins
• Stalacia Collymore
• Alexis Colon

• Urgent Care Clinic/Center in Palm City, FL
• Providers in Palm City, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.