Eastcoast Medical Network Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EASTCOAST MEDICAL NETWORK INC

Practice address

6000 Turkey Lake Rd Ste 208
Orlando, FL 32819-4206

Phone

(407) 648-5252

Fax

(407) 370-4126

NPI assigned

Feb 21, 2020

Organization subpart

No

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

Authorized official

Name

Melissa J Staffelli

Title

Director of Operations

Phone

(407) 648-5252

Specialties & licenses 1

Addresses

Other names 1

• The Medical Concierge Doing business as

Tax ID family

Eastcoast Medical Network Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eastcoast Medical Network Inc

  • Urgent Care Clinic/Center
  • Orlando, FL
  • NPI 1710525316
  NPD tax ID

Locations

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1801429444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD STE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194206",
            "telephone_number": "407-648-5252",
            "fax_number": "407-370-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD STE 208",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194206",
            "telephone_number": "407-648-5252",
            "fax_number": "407-370-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTCOAST MEDICAL NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "STAFFELLI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "407-648-5252"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical Concierge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Orlando Primary Care P a
• East West Acutherapy
• East West Alternatives, LLC
• Eastcoast Medical Network Inc
• Eastcoast Medical Network Inc
• Casey Easterling, MD
• Constance Buchanan Easterling, ARNP
• Eastern Modalities, LLC
• Amber Rose Eastwood, ARNP
• Brandy Taylor Eaton

• Urgent Care Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.