COAST MEDICAL MANAGEMENT OF FLORIDA LLC
NPI 1164234431
Clinic/Center - Primary Care in Port Saint Lucie, FL

Q: What is Coast Medical Management Of Florida LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since January 23, 2025CLIA 10D2328144 · Waiver

451 SW BETHANY DR STE 103, PORT SAINT LUCIE, FL 34986(772) 348-0828(772) 348-0826 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Coast Medical Management Of Florida Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COAST MEDICAL MANAGEMENT OF FLORIDA LLC (NPI 1164234431) is a healthcare organization registered as a primary care in Port Saint Lucie, Florida and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Denis A Vilchez, Manager, as its authorized official.

NPPES Registry Identity

NPI1164234431

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCOAST MEDICAL MANAGEMENT OF FLORIDA LLC

Location Address451 SW BETHANY DR STE 103Port Saint Lucie, FL 34986-1964

Mailing Address451 Sw Bethany Dr Ste 103Port Saint Lucie, FL 34986-1964 · (772) 348-0828 · Fax (772) 348-0826

Phone(772) 348-0828

Fax(772) 348-0826

Organization SubpartNo

Authorized OfficialDenis A VilchezManager · (772) 348-0828

Enumeration DateJanuary 23, 2025

NPPES CertifiedJanuary 23, 2025

✔ NPI 1164234431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

451 SW BETHANY DR STE 103, Port Saint Lucie, FL 34986

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coast Medical Management Of Florida Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coast Medical Management Of Florida LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Denis Vilchez, M.D.

General Practice

NPI 1548332943

451 SW BETHANY DR STE 103
Port Saint Lucie, FL 34986

(772) 348-0828

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2328144

Coast Medical Management Of Florida LLC · Port Saint Lucie, FL

Active · expires Aug 4, 2027

CLIA Number10D2328144

Laboratory TypePhysician Office

Certificate Effective DateAugust 5, 2025

Certificate Expiration DateAugust 4, 2027

Laboratory DirectorDenis A. Vilchez

Laboratory Phone(772) 348-0828

Laboratory LocationCoast Medical Management Of Florida LLC451 SW Bethany Dr, Suite 103, Port Saint Lucie, FL 34986

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coast Medical Management Of Florida LLC's NPI number?

The NPI number for Coast Medical Management Of Florida LLC is 1164234431. It was assigned to this organization in the NPPES registry on January 23, 2025.

Where is Coast Medical Management Of Florida LLC located?

Coast Medical Management Of Florida LLC is located at 451 SW Bethany Dr Ste 103, Port Saint Lucie, FL 34986. The listed phone number is (772) 348-0828.

What is Coast Medical Management Of Florida LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Coast Medical Management Of Florida LLC enrolled in Medicare?

Yes. Coast Medical Management Of Florida LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coast Medical Management Of Florida LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Coast Medical Management Of Florida LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coast Medical Management Of Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2328144) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coast Medical Management Of Florida LLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.