Coastal Mobile Medical Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COASTAL MOBILE MEDICAL CARE LLC

Doing business as

Coastal Medical Care

Practice address

8825 Perimeter Park Blvd Ste 204
Jacksonville, FL 32216-1126

Phone

(904) 643-6346

Fax

(904) 441-7554

NPI assigned

May 8, 2024

Last updated

Aug 5, 2024By 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

Robyn BrattonNPI 1396291936

Title

Co-Owner/NP

Phone

(904) 643-6346

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coastal Medical Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robyn Bratton

  • Family Nurse Practitioner
  • St Augustine, FL
  • NPI 1396291936
  NPD Authorized official

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1922856525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 PERIMETER PARK BLVD STE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161126",
            "telephone_number": "904-643-6346",
            "fax_number": "904-441-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 PERIMETER PARK BLVD STE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161126",
            "telephone_number": "904-643-6346",
            "fax_number": "904-441-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MOBILE MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BRATTON",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "CO-OWNER/NP",
        "authorized_official_telephone_number": "904-643-6346"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA",
            "identifier": "9108134",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Medical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Health (Coastal Integrative Healthcare)
• Coastal Health Institute, LLC
• Coastal Health Services, Inc.
• Coastal Injury Clinic LLC
• Coastal Mental Health Center Inc
• Coastal Plus Medical Center Inc
• Coastal Surgery Center, LLC
• Coastal Transitional Care, LLC
• Coastal Vein & Vascular Institute, LLC
• Michael Germaine Coates

• Primary Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, 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 Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.