COASTLINE IMAGING INC (NPI# 1184805491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184805491 |
| Entity Type | Organization |
| Organization Name | COASTLINE IMAGING INC |
| Practice Address |
2290 W Eau Gallie Blvd Suite 108 Melbourne FL 32935-3133 |
| Mailing Address |
2290 W Eau Gallie Blvd Suite 104 Melbourne FL 32935-3133 |
| Practice Telephone | 3212532700 |
| Practice Fax Number | 3212532267 |
| Mailing Telephone | 3212532700 |
| Mailing Fax Number | 3212532267 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-16 |
| Authorized Official Name | JAMES EAKER (PRESIDENT) |
| Authorized Official Telephone | 3212532700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | HCC3989 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 264871701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679802599 | Coastline Imaging Inc | Occupational Therapy Assistant | 1341 Medical Park Dr, Ste. 202, Melbourne, FL 32901-3235 | 2009-12-24 |
| 1437330750 | Coastline Imaging Inc | Specialist | 1341 Medical Park Dr, Suite 101, Melbourne, FL 32901-3235 | 2007-11-15 |
| 1770576167 | Coastline Imaging Inc | Radiology | 2290 W Eau Gallie Blvd, Ste 104, Melbourne, FL 32935-3133 | 2005-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COASTLINE IMAGING INC | 2290 W Eau Gallie Blvd Ste 104, Melbourne, FL 32935-3134 |
| Street Address |
2290 W EAU GALLIE BLVD SUITE 108 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609657 | Mark W Minor | Allergy & Immunology | 2290 W Eau Gallie Blvd, Ste 205, Melbourne, FL 32935-3133 | 2005-06-17 |
| 1992128508 | Medical Associates of Brevard LLC | Clinic/Center | 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935-3133 | 2014-02-03 |
| 1619104114 | Medical Associates of Brevard LLC | Clinic/Center | 2290 W Eau Gallie Blvd, Suite 202, Melbourne, FL 32935-3145 | 2009-06-11 |
| 1821230855 | Melissa A. Studebaker | Nurse Practitioner | 2290 W Eau Gallie Blvd, Suite 202, Melbourne, FL 32935-3133 | 2009-04-06 |
| 1962505016 | David R Feldman | Radiology | 2290 W Eau Gallie Blvd, Suite 104, Melbourne, FL 32935-3133 | 2006-09-06 |
| 1740290436 | Medical Associates of Brevard LLC | Clinic/Center | 2290 W Eau Gallie Blvd, Suite 108, Melbourne, FL 32935-3133 | 2006-08-08 |
| 1164432662 | Medical Associates of Brevard LLC | Clinic/Center | 2290 W Eau Gallie Blvd, Suite 100, Melbourne, FL 32935-3133 | 2006-08-08 |
| 1730198771 | Medical Associates of Brevard LLC | Clinic/Center | 2290 W Eau Gallie Blvd, Suite 205, Melbourne, FL 32935-3133 | 2006-08-07 |
| 1467485946 | Ervin Szoke | Internal Medicine | 2290 W Eau Gallie Blvd, Suite 100, Melbourne, FL 32935-3133 | 2006-07-08 |
| 1801853171 | Sumeet Chandra | Internal Medicine | 2290 W Eau Gallie Blvd, Ste 202, Melbourne, FL 32935-3145 | 2006-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758893 | Ursula Olazabal | Specialist | 402 N Babcock St Ste 101, Melbourne, FL 32935-7335 | 2020-10-18 |
| 1588101604 | Brevard County Orthopedic & Spine Associates LLC | Specialist | 2090 Sarno Rd, Melbourne, FL 32935-3077 | 2017-01-26 |
| 1962809897 | Independent Lung Associates, Pa | Specialist | 1314 Oak Street, Melbourne, FL 32901 | 2014-11-20 |
| 1043583289 | Kelly M Lieneke | Specialist | 6300 N Wickham Rd Ste 116, Melbourne, FL 32940-2023 | 2012-02-20 |
| 1609165794 | Sumeet Thareja | Specialist | 675 S Babcock Street, Melbourne, FL 32901-1459 | 2011-03-29 |
| 1447583943 | Charla Jean Green | Specialist | 601 E Strawbridge Ave, Melbourne, FL 32901-4733 | 2009-09-15 |
| 1104077841 | Denise Elliott | Specialist | 2447 N Wickham Rd Ste 138, Pmb 147, Melbourne, FL 32935-8127 | 2008-09-30 |
| 1649442047 | East Shore Neurology Pa | Specialist | 240 N Wickham Rd Ste 110, Melbourne, FL 32935-8663 | 2008-03-26 |
| 1144408378 | Richard E Goulding | Specialist | 817 Hogan Way, Melbourne, FL 32940-1789 | 2008-02-11 |
| 1942414420 | Kathleen Savarese | Specialist | 2811 Cameron St, Melbourne, FL 32901-7011 | 2007-05-10 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.