COASTAL VASCULAR AND INTERVENTIONAL PLLC
NPI 1760055289
Surgery - Vascular Surgery in Pensacola, FL

Active since July 22, 2021
2301 N 9TH AVE STE 100, PENSACOLA, FL 32503(850) 479-1805(850) 479-1829 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 1760055289) is a healthcare organization registered as a vascular surgery in Pensacola, Florida and active in the NPI registry since July 2021. The organization lists Danelle Fischer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760055289
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCOASTAL VASCULAR AND INTERVENTIONAL PLLC
Location Address2301 N 9TH AVE STE 100Pensacola, FL 32503-3986
Mailing AddressPo Box 11982Pensacola, FL 32524-1982 · (850) 479-1805 · Fax (850) 479-1829
Fax(850) 479-1829
Organization SubpartNo
Authorized OfficialDanelle FischerAdministrator · (850) 479-1805
Enumeration DateJuly 22, 2021
NPPES CertifiedJune 24, 2021
NPI 1760055289 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
2301 N 9TH AVE STE 100, Pensacola, FL 32503

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 1760055289. It was assigned to this organization in the NPPES registry on July 22, 2021.

Where is Coastal Vascular And Interventional PLLC located?

Coastal Vascular And Interventional PLLC is located at 2301 N 9th Ave Ste 100, Pensacola, FL 32503. 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 July 22, 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.