Coastal Medical Associates Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COASTAL MEDICAL ASSOCIATES INC

Doing business as

Quick Care Medical Treatment Center

Practice address

4530 S Ridgewood Ave
Port Orange, FL 32127-4523

Phone

(386) 788-1881

Fax

(386) 788-8556

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Betsy Joan Levin

Title

President

Phone

(386) 788-1881

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Quick Care Medical Treatment Center Doing business as

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1902893795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 S RIDGEWOOD AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274523",
            "telephone_number": "386-788-1881",
            "fax_number": "386-788-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 S RIDGEWOOD AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274523",
            "telephone_number": "386-788-1881",
            "fax_number": "386-788-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-788-1881",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374426400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quick Care Medical Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Clarke
• Brittany Michele Claude
• Jeffery Kyle Clifton, DC
• Clinical Acumen LLC.
• Coastal City Chiropractic Center LLC
• Coastal Oaks Homecare Inc
• Coastline Family Medicine LLC
• Coastline Physical Therapy LLC
• Ronald Michael Coblentz
• Jason Thomas Coe, D.C.

• Primary Care Clinic/Center in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.