| Coastal Pediatrics Llc | |
|
1275 W Granada Blvd Ste 3a Ormond Beach FL 32174-8259 | |
| (386) 672-1490 | |
| (386) 672-1682 |
| Full Name | Coastal Pediatrics Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1275 W Granada Blvd, Ormond Beach, Florida |
| Authorized Official Name and Position | Jean-claude Jeanty (OWNER) |
| Authorized Official Contact | 3866721490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Pediatrics Llc 1275 W Granada Blvd Ste 3a Ormond Beach FL 32174-8259 Ph: (386) 672-1490 | Coastal Pediatrics Llc 1275 W Granada Blvd Ste 3a Ormond Beach FL 32174-8259 Ph: (386) 672-1490 |
| NPI Number | 1831199710 |
|---|---|
| Provider Enumeration Date | 07/21/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831199710 | NPI | - | NPPES |
| 761792 | Other | FL | FIRST HEALTH |
| 6633914-001 | Other | FL | CIGNA |
| 759373 | Other | FL | CONNECTICARE |
| 1202000 | Other | FL | UNITED HEALTH CARE MEDICA |
| 26333 | Other | FL | BLUE CROSS |
| 5907098 | Other | FL | AETNA |
| F95182 | Other | FL | FLORIDA HOSPITAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Ormond Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 279 S Yonge St, Ormond Beach, FL 32174 Phone: 386-955-9704 Fax: 386-872-5004 | |
James E Mcdonnell Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Clyde Morris Blvd, Suite 130, Ormond Beach, FL 32174 Phone: 386-677-6727 Fax: 386-677-3211 | |
Mark W. Lastarza, M.d., Pa. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 Clyde Morris Blvd, Suite 290, Ormond Beach, FL 32174 Phone: 386-672-3219 Fax: 386-672-3160 | |
Skeuthaus Inpatient Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Sterthaus Ave, Ormond Beach, FL 32174 Phone: 386-676-6000 | |
Advanced Health Care Physical Medicine,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Granada Blvd, Suite 101, Ormond Beach, FL 32174 Phone: 386-673-2000 Fax: 386-673-2002 | |
Roya Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 N Beach St, Suite A, Ormond Beach, FL 32174 Phone: 386-673-8333 Fax: 386-673-5236 | |
Mobile Health Solutions Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Pine Creek Trl, Ormond Beach, FL 32174 Phone: 386-566-1733 Fax: 386-615-6628 |