COASTAL VASCULAR AND INTERVENTIONAL PLLC – NPI #1194394031
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

COASTAL VASCULAR AND INTERVENTIONAL PLLC is a surgeon located in DESTIN, FL. NPPES has assigned the NPI number 1194394031 to COASTAL VASCULAR AND INTERVENTIONAL PLLC on June 24, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

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 COASTAL VASCULAR AND INTERVENTIONAL PLLC below.

NPI Profile for
COASTAL VASCULAR AND INTERVENTIONAL PLLC

NPI Number
1194394031
Enumeration Date

(about 5 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
COASTAL VASCULAR AND INTERVENTIONAL PLLC
Primary location
7720 US HIGHWAY 98 W STE 240
DESTIN, FL 32550-7232
Phone: (850) 479-1805 Fax: (850) 479-1829
Mailing address
PO BOX 11982
PENSACOLA, FL 32524-1982
Phone: (850) 479-1805 Fax: (850) 479-1829
Organization Subpart
No
Authorized Official
DANELLE FISCHER
ADMINISTRATOR
Phone: (850) 479-1805
Updated
Certification Date
Jun 24, 2021

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
2086S0129X
- Surgery / Vascular Surgery (Primary)
2085R0204X
- Radiology / Vascular & Interventional Radiology
2085R0202X
- Radiology / Diagnostic Radiology

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.