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Contact Information

COASTAL ORTHOPEDICS & SPORTS MEDICINE OF SOUTHWEST FLORIDA PA
8000 SR 64 E
BRADENTON, FL34212
 Phone: 941-792-1404
 Fax: 941-761-0712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for COASTAL ORTHOPEDICS SPORTS MEDICINE OF SOUTHWEST FLORIDA PA · (Female)

NPI Number 1285740720
Status Active
Credentials
Entity Individual
Enumeration date 08/21/2006
Last updated 02/10/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 264533500
  • FL Other 00712 BCBS FL
  • FL Other CF1532 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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