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COCOA BEACH FAMILY MEDICINE
NPI 1457168254
Family Medicine in Cocoa Beach, FL

Active since December 16, 2024CLIA 10D2321741 · Waiver
1980 N ATLANTIC AVE STE 905, COCOA BEACH, FL 32931(321) 342-4948 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cocoa Beach Family Medicine NPPES

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

COCOA BEACH FAMILY MEDICINE (NPI 1457168254) is a healthcare organization registered as a family medicine in Cocoa Beach, Florida and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Jordan Loftis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457168254
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOCOA BEACH FAMILY MEDICINE
Location Address1980 N ATLANTIC AVE STE 905Cocoa Beach, FL 32931-3277
Mailing Address1980 N Atlantic Ave Ste 905Cocoa Beach, FL 32931-3277 · (321) 342-4948
Phone(321) 342-4948
Organization SubpartNo
Authorized OfficialJordan LoftisCeo · (321) 749-5566
Enumeration DateDecember 16, 2024
NPPES CertifiedDecember 15, 2024
✔ NPI 1457168254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1980 N ATLANTIC AVE STE 905, Cocoa Beach, FL 32931
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Other Names 1

Doing Business AsCocoa Beach Family Medicine

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

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 10D2321741

Cocoa Beach Family Medicine · Cocoa Beach, FL
Active · expires Apr 8, 2027
CLIA Number10D2321741
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2025
Certificate Expiration DateApril 8, 2027
Laboratory DirectorJordan L. Loftis
Laboratory Phone(321) 342-4948
Laboratory LocationCocoa Beach Family Medicine1980 N Atlantic Ave Ste 905, Cocoa Beach, FL 32931
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 3

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

MEGAN LEIGH SHAHLAMIAN APRN
Nurse Practitioner (Family)
1980 N ATLANTIC AVE STE 905
COCOA BEACH, FL 32931
Brevard County (321) 342-4948
DR. BRADLEY L SCHIFF DDS
Dentist (Endodontics)
1980 N ATLANTIC AVE STE 905
COCOA BEACH, FL 32931
Brevard County (321) 784-2236
JORDAN L LOFTIS MD
Family Medicine
1980 N ATLANTIC AVE STE 905
COCOA BEACH, FL 32931
Brevard County (321) 342-4948

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 Cocoa Beach Family Medicine's NPI number?

The NPI number for Cocoa Beach Family Medicine is 1457168254. It was assigned to this organization in the NPPES registry on December 16, 2024.

Where is Cocoa Beach Family Medicine located?

Cocoa Beach Family Medicine is located at 1980 N Atlantic Ave Ste 905, Cocoa Beach, FL 32931. The listed phone number is (321) 342-4948.

What is Cocoa Beach Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Cocoa Beach Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2321741) is associated with this NPI, valid through April 8, 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 Cocoa Beach Family Medicine was last updated on December 16, 2024. 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.