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COASTLINE FAMILY MEDICINE LLC
NPI 1316646748
Nurse Practitioner - Family in Port Orange, FL

Active since February 24, 2023
6258 WOODHAVEN VILLAGE DR, PORT ORANGE, FL 32128(386) 689-4090 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 20, 2023, Feb 24, 2023 (2 updates tracked since 2023).

About Coastline Family Medicine Llc NPPES

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

COASTLINE FAMILY MEDICINE LLC (NPI 1316646748) is a healthcare organization registered as a family in Port Orange, Florida and active in the NPI registry since February 2023. The organization lists Kathrine Rigney, Owner, as its authorized official.

NPPES Registry Identity

NPI1316646748
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOASTLINE FAMILY MEDICINE LLC
Location Address6258 WOODHAVEN VILLAGE DRPort Orange, FL 32128-6850
Mailing Address6258 Woodhaven Village DrPort Orange, FL 32128-6850 · (386) 689-4090
Phone(386) 689-4090
Organization SubpartNo
Authorized OfficialKathrine RigneyOwner · (386) 689-4090
Enumeration DateFebruary 24, 2023
Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1316646748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
6258 WOODHAVEN VILLAGE DR, Port Orange, FL 32128
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Coastline Family Medicine LLC's NPI number?

The NPI number for Coastline Family Medicine LLC is 1316646748. It was assigned to this organization in the NPPES registry on February 24, 2023.

Where is Coastline Family Medicine LLC located?

Coastline Family Medicine LLC is located at 6258 Woodhaven Village Dr, Port Orange, FL 32128. The listed phone number is (386) 689-4090.

What is Coastline Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Coastline Family Medicine LLC was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.