COASTAL MEDICAL ASSOCIATES INC (NPI# 1902893795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902893795 |
| Entity Type | Organization |
| Organization Name | COASTAL MEDICAL ASSOCIATES INC |
| Other Organization Name | QUICK CARE MEDICAL TREATMENT CENTER |
| Practice Address |
4530 S Ridgewood Ave Port Orange FL 32127-4523 |
| Practice Telephone | 3867881881 |
| Practice Fax Number | 3867888556 |
| Mailing Telephone | 3867881881 |
| Mailing Fax Number | 3867888556 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2009-07-24 |
| Authorized Official Name | MRS. BETSY JOAN LEVIN (PRESIDENT) |
| Authorized Official Telephone | 3867881881 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 374426400 | 05 |
| Other Name | Type Code |
|---|---|
| Quick Care Medical Treatment Center | Doing Business As Name - Organization |
| Street Address |
4530 S RIDGEWOOD AVE |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-4523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760673776 | H I Levin D.o. | Family Medicine | 4530 S Ridgewood Ave, Port Orange, FL 32127-4523 | 2007-08-05 |
| 1609080118 | David Douglas Turner | Family Medicine | 4530 S Ridgewood Ave, Port Orange, FL 32127-4523 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061767 | Dunlawton Family Medicine Plc | Clinic/Center | 790 Dunlawton Ave, Suite E, Port Orange, FL 32127-4222 | 2005-08-24 |
| 1871780106 | Wagid F Guirgis | Clinic/Center | 3953 S Nova Rd, Port Orange, FL 32127-4910 | 2007-10-01 |
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| Find all providers with the same taxonomy | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
Please comment or provide details below to improve the information on COASTAL MEDICAL ASSOCIATES INC.
| 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.