COASTAL FAMILY PRACTICE AND INTERNAL MEDICINE
NPI 1629686613
Internal Medicine in Jupiter, FL

Active since July 16, 2020CLIA 10D2249872 · Waiver
1004 S OLD DIXIE HWY STE 201, JUPITER, FL 33458(561) 662-5964(561) 284-8380 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 22, 2020, Jul 16, 2020 (2 updates tracked since 2020).

About Coastal Family Practice And Internal Medicine NPPES

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

COASTAL FAMILY PRACTICE AND INTERNAL MEDICINE (NPI 1629686613) is a healthcare organization registered as an internal medicine in Jupiter, Florida and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Janet D Eick, Access Manager, as its authorized official.

NPPES Registry Identity

NPI1629686613
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOASTAL FAMILY PRACTICE AND INTERNAL MEDICINE
Location Address1004 S OLD DIXIE HWY STE 201Jupiter, FL 33458-7200
Mailing Address1004 S Old Dixie Hwy Ste 201Jupiter, FL 33458-7200 · (561) 284-8383 · Fax (561) 284-8380
Fax(561) 284-8380
Organization SubpartNo
Authorized OfficialJanet D EickAccess Manager · (561) 662-5964
Enumeration DateJuly 16, 2020
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
NPI 1629686613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.

1004 S OLD DIXIE HWY STE 201, Jupiter, FL 33458

Other Identifiers 1

Other1780772673FL · Npi Number

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

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2249872
Facility Type
Physician Office
Certificate Effective Date
January 24, 2026
Certificate Expiration Date
January 23, 2028
Laboratory Director
LISA JOYCE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Coastal Family Practice And Internal Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COASTAL FAMILY PRACTICE AND INTERNAL MEDICINE

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
1004 S OLD DIXIE HWY STE 201
JUPITER, FL 33458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629686613, enumerated as an "organization" on July 16, 2020.

The provider is located at 1004 S OLD DIXIE HWY STE 201 JUPITER, FL 33458 and the phone number is (561) 662-5964.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.