Coastal Cardiology P A

LBN: Coastal Cardiology P A
Coastal Cardiology P A is an health care organization with primary practice located at 16261 Bass Rd Suite 300, Fort Myers FL 33908-3671. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Coastal Cardiology P A can be contacted via phone (239) 274-8866, or through Conrad, James A. via phone (239) 274-8866.

Contact Information

Primary practice address
16261 Bass Rd Suite 300 Fort Myers FL 33908-3671
Phone: (239) 274-8866
Fax: (239) 274-8867
Website:
Map and Directions
Authorized official contact:
Name: Conrad, James A. Doctor of Medicine (MD)
Phone: (239) 274-8866

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1174588255
LBN Legal business name Coastal Cardiology P A
DBA Doing business as
Authorized official Conrad, James A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated May 24th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174588255 NPPES
Florida MEDICAID 273264500
Florida Other 74608
Florida Other DD8590

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