COASTAL VASCULAR AND INTERVENTIONAL PLLC
NPI 1639748577
Surgery - Vascular Surgery in Crestview, FL

Q: What is Coastal Vascular And Interventional PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since June 24, 2021

327 MEDCREST DR UNIT B, CRESTVIEW, FL 32536(850) 479-1805(850) 479-1829 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Coastal Vascular And Interventional Pllc NPPES

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

COASTAL VASCULAR AND INTERVENTIONAL PLLC (NPI 1639748577) is a healthcare organization registered as a vascular surgery in Crestview, Florida and active in the NPI registry since June 2021. The organization lists Danelle Fischer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639748577

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameCOASTAL VASCULAR AND INTERVENTIONAL PLLC

Location Address327 MEDCREST DR UNIT BCrestview, FL 32536-6464

Mailing AddressPo Box 11982Pensacola, FL 32524-1982 · (850) 479-1805 · Fax (850) 479-1829

Phone(850) 479-1805

Fax(850) 479-1829

Organization SubpartNo

Authorized OfficialDanelle FischerAdministrator · (850) 479-1805

Enumeration DateJune 24, 2021

NPPES CertifiedJune 24, 2021

✔ NPI 1639748577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

327 MEDCREST DR UNIT B, Crestview, FL 32536

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Vascular And Interventional PLLC's NPI number?

The NPI number for Coastal Vascular And Interventional PLLC is 1639748577. It was assigned to this organization in the NPPES registry on June 24, 2021.

Where is Coastal Vascular And Interventional PLLC located?

Coastal Vascular And Interventional PLLC is located at 327 Medcrest Dr Unit B, Crestview, FL 32536. The listed phone number is (850) 479-1805.

What is Coastal Vascular And Interventional PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Coastal Vascular And Interventional PLLC was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.