Vladia Coelho

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27668 Issued in FL

Practice address

3226 Lake Washington Rd Ste 16
Melbourne, FL 32934-7620

Phone

(321) 255-1991

NPI assigned

Jan 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Vladia M a Coelho Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Dental Alliance of Lake Washington, PLLC

  • General Practice Dentistry
  • Melbourne, FL
  • NPI 1558840371
  NPD (past)

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1649985193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 JUDGE FRAN JAMIESON WAY UNIT 3230",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406258",
            "telephone_number": "585-743-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 LAKE WASHINGTON RD STE 16",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347620",
            "telephone_number": "321-255-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COELHO",
        "first_name": "VLADIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27668",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VLADIA",
            "last_name": "COELHO",
            "middle_name": "M A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Coastline Imaging LLC
• Melinda Ann Cobb, PA
• Christian M Cobbold, MD
• Lisa Frier Cobbs, MSN, ARNP, FNP-C
• Victoria Cobham
• Nikka Cohan, ARNP
• Charna Cohen, FNP-BC
• Daniel Albert Cohen, DPM
• Jennifer Williams Colasacco, ARNP
• Cole Vision Corporation

• General Practice Dentistry in Melbourne, FL
• Providers in Melbourne, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.