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COASTAL SKILLED CARE PROVIDERS LLC
NPI 1508272683
Internal Medicine in Ormond Beach, FL

Active since July 09, 2014
767 TIMOTHY ST, ORMOND BEACH, FL 32174(407) 496-9399 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coastal Skilled Care Providers Llc NPPES

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

COASTAL SKILLED CARE PROVIDERS LLC (NPI 1508272683) is a healthcare organization registered as an internal medicine in Ormond Beach, Florida and active in the NPI registry since July 2014. The organization lists Lothar Michael Gebauer, Officer, as its authorized official.

NPPES Registry Identity

NPI1508272683
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOASTAL SKILLED CARE PROVIDERS LLC
Location Address767 TIMOTHY STOrmond Beach, FL 32174-2909
Mailing Address767 Timothy StOrmond Beach, FL 32174-2909 · (407) 496-9399
Phone(407) 496-9399
Organization SubpartNo
Authorized OfficialLothar Michael GebauerOfficer · (407) 496-9399
Enumeration DateJuly 9, 2014
✔ NPI 1508272683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME98984
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
767 TIMOTHY ST, Ormond Beach, FL 32174
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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 Coastal Skilled Care Providers LLC's NPI number?

The NPI number for Coastal Skilled Care Providers LLC is 1508272683. It was assigned to this organization in the NPPES registry on July 9, 2014.

Where is Coastal Skilled Care Providers LLC located?

Coastal Skilled Care Providers LLC is located at 767 Timothy St, Ormond Beach, FL 32174. The listed phone number is (407) 496-9399.

What is Coastal Skilled Care Providers LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Coastal Skilled Care Providers LLC was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.