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COASTAL MEDICAL CARE
NPI 1922856525
Clinic/Center - Primary Care in Jacksonville, FL

Active since May 08, 2024CLIA Certified · 2 labs
8825 PERIMETER PARK BLVD STE 204, JACKSONVILLE, FL 32216(904) 643-6346(904) 441-7554 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2024, May 8, 2024 (2 updates tracked since 2024).

About Coastal Medical Care NPPES

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

COASTAL MEDICAL CARE (NPI 1922856525) is a healthcare organization registered as a primary care in Jacksonville, Florida and active in the NPI registry since May 2024. The organization holds 2 active CLIA laboratory certificates and lists Robyn Bratton, Co-owner/np, as its authorized official.

NPPES Registry Identity

NPI1922856525
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOASTAL MOBILE MEDICAL CARE LLC
Location Address8825 PERIMETER PARK BLVD STE 204Jacksonville, FL 32216-1126
Mailing Address8825 Perimeter Park Blvd Ste 204Jacksonville, FL 32216-1126 · (904) 643-6346 · Fax (904) 441-7554
Phone(904) 643-6346
Fax(904) 441-7554
Organization SubpartNo
Authorized OfficialRobyn BrattonCo-owner/np · (904) 643-6346
Enumeration DateMay 8, 2024
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1922856525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
8825 PERIMETER PARK BLVD STE 204, Jacksonville, FL 32216
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Other Names 1

Doing Business AsCoastal Medical Care

Other Identifiers 1

Other9108134FL · Pa

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2277454

Coastal Mobile Medical Care, LLC · Jacksonville, FL
Active · expires Feb 27, 2027
CLIA Number10D2277454
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorLarissa S. Buccolo
Laboratory Phone(904) 643-6346
Laboratory LocationCoastal Mobile Medical Care, LLC8825 Perimeter Park Blvd Ste 204, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2339558

Coastal Mobile Medical Care LLC Rally Care · Jacksonville, FL
Active · expires Mar 3, 2028
CLIA Number10D2339558
Laboratory TypePractitioner Other
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorLarissa S. Buccolo
Laboratory Phone(904) 643-6346
Laboratory LocationCoastal Mobile Medical Care LLC Rally Care7791 Belfort Parkway, Jacksonville, FL 32256
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mobile Medical Care LLC's NPI number?

The NPI number for Coastal Mobile Medical Care LLC is 1922856525. It was assigned to this organization in the NPPES registry on May 8, 2024. The provider is doing business as Coastal Medical Care.

Where is Coastal Mobile Medical Care LLC located?

Coastal Mobile Medical Care LLC is located at 8825 Perimeter Park Blvd Ste 204, Jacksonville, FL 32216. The listed phone number is (904) 643-6346.

What is Coastal Mobile Medical Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Coastal Mobile Medical Care LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Coastal Mobile Medical Care LLC was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.