Coastal Care Tampa Bay

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

30211572 Issued in FL

Legal business name

COASTAL CARE TAMPA BAY

Practice address

340 Tamiami TRL S
Ste 203
Nokomis, FL 34275-3179

Phone

(941) 306-1991

NPI assigned

Jun 27, 2012

Last updated

Jul 21, 2022By 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

Miss Victoria Pettograsso

Title

President

Phone

(941) 306-1991

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841554508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 TOWN CENTER PKWY",
            "address_2": "106A",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024101",
            "telephone_number": "941-306-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 TAMIAMI TRL S",
            "address_2": "STE 203",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753179",
            "telephone_number": "941-306-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE TAMPA BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PETTOGRASSO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-306-1991",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "30211572",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Carlson, LCSW14538
• Albert Eugene Charron, MD
• Chase Surgical Solutions, LLC
• Sophia Gail Ciaravino, MD
• Coastal Care Nursing Associates, Inc
• Coastal Treatment Center, Nokomis LLC (The Wave of Sarasota)
• Comfortable Care Dental Health Professionals, P.a. (Nokomis Dental Care)
• Comfortable Medical Supplies, 'LLC'
• Mara Megan Crowe, RBT
• Lynn Daigler, ITDS CERTIFICATE

• Nursing Care Agency in Nokomis, FL
• Providers in Nokomis, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.