Coastal Diabetes, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COASTAL DIABETES, LLC

Practice address

12 Miracle Strip Pkwy SE
Suite 102
Fort Walton Beach, FL 32548-5814

Phone

(850) 243-0483

Fax

(850) 243-1421

NPI assigned

Aug 18, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Rowland

Title

President

Phone

(850) 243-0483

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1730494451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242037",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361242037",
            "telephone_number": "334-396-3273",
            "fax_number": "334-396-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MIRACLE STRIP PKWY SE",
            "address_2": "SUITE 102",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485814",
            "telephone_number": "850-243-0483",
            "fax_number": "850-243-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DIABETES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-243-0483",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Clasbey, MSW
• Emily Claughsey
• William Andrew Claybaugh, PHARM.D.
• Carly Clifton, NP
• Coast Anesthesia Associates, PLLC
• Coastal Periodontics Practice
• Coastal Radiology Associates PA
• Coastal Spa and Salon
• Coastal Vascular and Interventional PLLC
• Coastal Wound Care

• Durable Medical Equipment & Medical Supplies in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.