COASTAL PAIN MEDICINE, INC.
NPI 1144735267
Pain Medicine - Interventional Pain Medicine in Pompano Beach, FL

Active since December 12, 2017
100 E SAMPLE RD STE 200, POMPANO BEACH, FL 33064(954) 543-5100(954) 543-5994 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 10, 2018, Dec 12, 2017 (2 updates tracked since 2017).

  • Organization
  • Pain Medicine
  • Interventional Pain Medicine

About COASTAL PAIN MEDICINE, INC.

This page provides the complete NPI Profile along with additional information for Coastal Pain Medicine, Inc., a provider established in Pompano Beach, Florida operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1144735267 assigned on December 2017. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jonathan Coit Krug (Director)

NPI
1144735267 Verify this NPI
Provider Name
COASTAL PAIN MEDICINE, INC.
Entity Type
Organization
Location Address
100 E SAMPLE RD STE 200 POMPANO BEACH, FL 33064
Location Phone
(954) 543-5100
Location Fax
(954) 543-5994
Mailing Address
11244 TURNBRIDGE DR JACKSONVILLE, FL 32256
Mailing Phone
(904) 591-4150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2017
Last Update Date
01-10-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JONATHAN COIT KRUG

Authorized Official Title
DIRECTOR
Authorized Official Phone
(904) 591-4150

Reviews for COASTAL PAIN MEDICINE, INC.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pain Medicine (Interventional Pain Medicine)
100 E SAMPLE RD STE 200
POMPANO BEACH, FL 33064
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 E SAMPLE RD STE 200
POMPANO BEACH, FL 33064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144735267, enumerated as an "organization" on December 12, 2017.

The provider is located at 100 E SAMPLE RD STE 200 POMPANO BEACH, FL 33064 and the phone number is (954) 543-5100.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.