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COASTAL CARE AND WELLNESS PLLC
NPI 1760367452
Physician Assistant in Port St Lucie, FL

Active since August 11, 2025
2100 SE HILLMOOR DR STE 101, PORT ST LUCIE, FL 34952(561) 262-8785 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Care And Wellness Pllc NPPES

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

COASTAL CARE AND WELLNESS PLLC (NPI 1760367452) is a healthcare organization registered as a physician assistant in Port St Lucie, Florida and active in the NPI registry since August 2025. The organization lists Jennifer M Qadir, Owner, as its authorized official.

NPPES Registry Identity

NPI1760367452
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameCOASTAL CARE AND WELLNESS PLLC
Location Address2100 SE HILLMOOR DR STE 101Port St Lucie, FL 34952-8057
Mailing Address612 Se Flamingo AveStuart, FL 34996-3249 · (561) 262-8785
Phone(561) 262-8785
Organization SubpartNo
Authorized OfficialJennifer M QadirOwner · (561) 688-9565
Enumeration DateAugust 11, 2025
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1760367452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedInternal MedicineTaxonomy 207R00000X
2100 SE HILLMOOR DR STE 101, Port St Lucie, FL 34952
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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

Other Providers at the Same Location NPPES 4

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

BRIANNON BEBBLE PA-C
Physician Assistant
2100 SE HILLMOOR DR STE 101
PORT ST LUCIE, FL 34952
St. Lucie County (561) 303-3011
JENNIFER M QADIR PA-C
Physician Assistant
2100 SE HILLMOOR DR STE 101
PORT ST LUCIE, FL 34952
St. Lucie County (561) 262-8785
MRS. ALEXANDRIA DOLORES ST ROSE ARNP
Nurse Practitioner (Adult Health)
2100 SE HILLMOOR DR STE 101
PORT ST LUCIE, FL 34952
St. Lucie County (561) 713-3772
INTENTIONALLY WELL, LLC
Nurse Practitioner (Family)
2100 SE HILLMOOR DR STE 101
PORT ST LUCIE, FL 34952
St. Lucie County (772) 877-2311

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 Care And Wellness PLLC's NPI number?

The NPI number for Coastal Care And Wellness PLLC is 1760367452. It was assigned to this organization in the NPPES registry on August 11, 2025.

Where is Coastal Care And Wellness PLLC located?

Coastal Care And Wellness PLLC is located at 2100 SE Hillmoor Dr Ste 101, Port St Lucie, FL 34952. The listed phone number is (561) 262-8785.

What is Coastal Care And Wellness PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Coastal Care And Wellness PLLC was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.