Coastal Family Medicine PL

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME94581 Issued in FL

Legal business name

COASTAL FAMILY MEDICINE PL

Practice address

1500 E Venice Ave
Suite 204
Venice, FL 34292-1662

Phone

(941) 484-1444

Fax

(941) 484-3444

NPI assigned

Aug 23, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia S Maule, M.D.

Title

President/Owner

Phone

(941) 684-0842

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michele L Gero, MD

  • Family Medicine Physician
  • Venice, FL
  • NPI 1417969965
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1700166758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E VENICE AVE",
            "address_2": "SUITE 204",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921662",
            "telephone_number": "941-484-1444",
            "fax_number": "941-484-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E VENICE AVE",
            "address_2": "SUITE 204",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921662",
            "telephone_number": "941-484-1444",
            "fax_number": "941-484-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY MEDICINE PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "MAULE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "941-684-0842",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camryn Clune
• Susan Lorene Clyne, DO
• Courtney Coakes, PA-C
• Coast Dermatology and Skin Cancer Center PA
• Coastal Care Nursing Associates, Inc
• Coastal in Home Medical, LLC
• Coastal Insurance
• Coastal Peaks Psychiatry PLLC
• Latrice Coates
• Brandon Lucas Coffey, D.O.

• Family Medicine Physician in Venice, FL
• Providers in Venice, 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 Oct 19, 2011; 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.