COAST ORTHOPEDIC CENTER PA
NPI 1760580104
Specialist in Titusville, FL

Active since September 20, 2006
1781 GARDEN ST, TITUSVILLE, FL 32796(321) 269-4300(321) 269-7755 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coast Orthopedic Center Pa NPPES

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

COAST ORTHOPEDIC CENTER PA (NPI 1760580104) is a healthcare organization registered as a specialist in Titusville, Florida and active in the NPI registry since September 2006. The organization lists James D. Glenn, Physician, as its authorized official.

NPPES Registry Identity

NPI1760580104
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOAST ORTHOPEDIC CENTER PA
Location Address1781 GARDEN STTitusville, FL 32796-3221
Mailing Address1781 Garden StTitusville, FL 32796-3221 · (321) 269-4300 · Fax (321) 269-7755
Fax(321) 269-7755
Organization SubpartNo
Authorized OfficialJames D. GlennPhysician · (321) 269-4300
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 24, 2016
NPI 1760580104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME51090
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1781 GARDEN ST, Titusville, FL 32796

Other Identifiers 3

Medicaid046402300FL
Medicare UPIND50970FL
Medicare ID-Type UnspecifiedE7318FL

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

Other Providers at the Same Location NPPES 2

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

Orthopaedic Surgery
1781 GARDEN ST
TITUSVILLE, FL 32796
Psychiatry & Neurology (Neurology)
1781 GARDEN ST
TITUSVILLE, FL 32796

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 Coast Orthopedic Center PA's NPI number?

The NPI number for Coast Orthopedic Center PA is 1760580104. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Coast Orthopedic Center PA located?

Coast Orthopedic Center PA is located at 1781 Garden St, Titusville, FL 32796. The listed phone number is (321) 269-4300.

What is Coast Orthopedic Center PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Coast Orthopedic Center PA was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.