Coastal Medical Service Managment

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0047065 Issued in FL

Legal business name

COASTAL MEDICAL SERVICE MANAGMENT

Practice address

3820 Tampa Road
Suite #202
Palm Harbor, FL 34684

Phone

(727) 785-4540

Fax

(727) 773-9716

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Cheryl Ann Payne

Title

Cfo

Phone

(727) 785-4540

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1619136397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 TAMPA ROAD",
            "address_2": "SUITE #202",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-785-4540",
            "fax_number": "727-773-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 TAMPA ROAD",
            "address_2": "SUITE #202",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-785-4540",
            "fax_number": "727-773-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL SERVICE MANAGMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-785-4540"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0047065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046784700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clearwater Rolfing LLC
• Rachel Cleary
• Kristina Clements
• Cli Integrative Medicine, LLC
• Coastal Connections Counseling Inc
• Michael T Cobbe, DDS
• Kayla Cobos, OTD, OTR/L
• Stephanie Nicole Cochran, D.O.
• Savannah W Coffey, MSOT, OTR/L
• Bradley James Cohen, ARNP

• Family Medicine Physician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.