PALM COAST CARDIOVASCULAR INSTITUTE PL
NPI 1285881946
Specialist in Palm Coast, FL

Active since August 25, 2008CLIA 10D1093201 · Waiver
19 OLD KINGS RD N STE C101, PALM COAST, FL 32137(386) 446-6540 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2020, May 15, 2018 (2 updates tracked since 2018).

About Palm Coast Cardiovascular Institute Pl NPPES

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

PALM COAST CARDIOVASCULAR INSTITUTE PL (NPI 1285881946) is a healthcare organization registered as a specialist in Palm Coast, Florida and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Domenic Marini, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1285881946
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePALM COAST CARDIOVASCULAR INSTITUTE PL
Location Address19 OLD KINGS RD N STE C101Palm Coast, FL 32137-8261
Mailing Address19 Old Kings Rd N Ste C101Palm Coast, FL 32137-8261 · (386) 446-6540 · Fax (386) 447-7148
Organization SubpartNo
Authorized OfficialDomenic MariniOwner/medical Director · (386) 586-4404
Enumeration DateAugust 25, 2008
Last NPPES UpdateMarch 20, 20202 updates tracked since enumeration
NPPES CertifiedMarch 20, 2020
NPI 1285881946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME80454
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
19 OLD KINGS RD N STE C101, Palm Coast, FL 32137

Accepted Insurance

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 10D1093201

Palm Coast Cardiovascular Institute Pl · Palm Coast, FL
Active · expires Dec 11, 2026
CLIA Number10D1093201
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorDomenic Marini
Laboratory Phone(386) 446-6540
Laboratory LocationPalm Coast Cardiovascular Institute Pl19 Old Kings Rd N Ste C101, Palm Coast, FL 32137
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 Palm Coast Cardiovascular Institute Pl's NPI number?

The NPI number for Palm Coast Cardiovascular Institute Pl is 1285881946. It was assigned to this organization in the NPPES registry on August 25, 2008.

Where is Palm Coast Cardiovascular Institute Pl located?

Palm Coast Cardiovascular Institute Pl is located at 19 Old Kings Rd N Ste C101, Palm Coast, FL 32137. The listed phone number is (386) 446-6540.

What is Palm Coast Cardiovascular Institute Pl's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Palm Coast Cardiovascular Institute Pl hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1093201) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palm Coast Cardiovascular Institute Pl accept?

Health plans from Ambetter Health and Ambetter of Alabama list Palm Coast Cardiovascular Institute Pl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palm Coast Cardiovascular Institute Pl was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.