COCONUT PRIMARY CARE – NPI #1396307062
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

COCONUT PRIMARY CARE is a provider located in ESTERO, FL. NPPES has assigned the NPI number 1396307062 to COCONUT PRIMARY CARE on July 02, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COCONUT PRIMARY CARE” is a dba name, the actual legal business name for this organization is LIBERTY PERSONAL LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Feb 04, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COCONUT PRIMARY CARE below.

NPI Profile for
LIBERTY PERSONAL LLC

NPI Number
1396307062
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIBERTY PERSONAL LLC
Doing Business As (dba): COCONUT PRIMARY CARE
Primary location
9911 CORKSCREW RD STE 200
ESTERO, FL 33928-3323
Phone: (239) 237-5500 Fax: (888) 828-5797
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GREGORY ROMANUIK
PRESIDENT, AUTHORIZED OFFICIAL
Phone: (239) 237-5500
Updated
Certification Date
Feb 04, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.