Coastal Insurance

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

License

D074547 Issued in FL

Legal business name

COASTAL INSURANCE

Practice address

200 E Venice Ave
Suite 304B
Venice, FL 34285-1941

Phone

(941) 484-7666

NPI assigned

Feb 18, 2014

Last updated

Feb 18, 2014By 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

Mr. Charles John Mikulski

Title

Agent

Phone

(941) 484-7666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1790109379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E VENICE AVE",
            "address_2": "SUITE 304B",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342851941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E VENICE AVE",
            "address_2": "SUITE 304B",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342851941",
            "telephone_number": "941-484-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL INSURANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "MIKULSKI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "941-484-7666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "FL",
            "license": "D074547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Supports Brokerage Agency in Venice, FL
• Providers in Venice, FL by specialty
• Supports Brokerage Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.