PALM COAST INTERNAL MEDICINE PA
NPI 1427194968
Internal Medicine - Adolescent Medicine in Palm Coast, FL

Active since January 30, 2007
21 HOSPITAL DR, SUITE 280, PALM COAST, FL 32164(386) 437-4711 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Palm Coast Internal Medicine Pa NPPES

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

PALM COAST INTERNAL MEDICINE PA (NPI 1427194968) is a healthcare organization registered as an adolescent medicine in Palm Coast, Florida and active in the NPI registry since January 2007. The organization lists Philip Goodwin, President, as its authorized official.

NPPES Registry Identity

NPI1427194968
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NamePALM COAST INTERNAL MEDICINE PA
Location Address21 HOSPITAL DR, SUITE 280Palm Coast, FL 32164-2452
Mailing Address21 Hospital Dr, Suite 280Palm Coast, FL 32164-2452 · (386) 437-4711
Organization SubpartNo
Authorized OfficialPhilip GoodwinPresident · (386) 437-4711
Enumeration DateJanuary 30, 2007
Last NPPES UpdateSeptember 4, 2008
NPI 1427194968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License Licensed in FL · ME78172
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
21 HOSPITAL DR, Palm Coast, FL 32164

Other Identifiers 2

Medicare UPINGO2491FL
Medicare PINK5648FL

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

Other Providers at the Same Location NPPES 20

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

Family Medicine
21 HOSPITAL DR, SUITE 290
PALM COAST, FL 32164
Family Medicine
21 HOSPITAL DR, SUITE 280
PALM COAST, FL 32164
Phlebology
21 HOSPITAL DR, SUITE 260
PALM COAST, FL 32164
Urology
21 HOSPITAL DR, SUITE 140
PALM COAST, FL 32164
Obstetrics & Gynecology (Gynecology)
21 HOSPITAL DR, SUITE 270
PALM COAST, FL 32164
Nurse Practitioner (Obstetrics & Gynecology)
21 HOSPITAL DR, SUITE 270
PALM COAST, FL 32164
Durable Medical Equipment & Medical Supplies (Customized Equipment)
21 HOSPITAL DR, SUITE 160
PALM COAST, FL 32164
Family Medicine
21 HOSPITAL DR, STE 290
PALM COAST, FL 32164

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 Internal Medicine PA's NPI number?

The NPI number for Palm Coast Internal Medicine PA is 1427194968. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Palm Coast Internal Medicine PA located?

Palm Coast Internal Medicine PA is located at 21 Hospital Dr Suite 280, Palm Coast, FL 32164. The listed phone number is (386) 437-4711.

What is Palm Coast Internal Medicine PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

When was this NPI record last updated?

The NPPES record for Palm Coast Internal Medicine PA was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.