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

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: August 30, 2026.

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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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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COAST FAMILY CARE GROUP LLC
General Practice
451 SW BETHANY DR STE 103
PORT SAINT LUCIE, FL 34986
St. Lucie County (832) 867-8019
ASHLEY NOELLE COOK LCSW
Social Worker (Clinical)
451 SW BETHANY DR STE 103
PORT ST LUCIE, FL 34986
St. Lucie County (772) 301-1354
HOLLY N GARZA-SHAW PA-C
Physician Assistant
451 SW BETHANY DR STE 103
PORT ST LUCIE, FL 34986
St. Lucie County (772) 301-1354
DENIS A VILCHEZ M.D.
General Practice
451 SW BETHANY DR STE 103
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 348-0828

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.

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 19 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.