Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Coast Port Charlotte, P.l.

Organization Dentist · NPI 1164513230

Coast Port Charlotte, P.l. provides Dentist services in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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Practice location Address checks out

4010 W Boy Scout Blvd Ste 1100-CREDENTIALING
Tampa, FL 33607-5727 Not confirmed with CMS for 10 years — call before visiting
Phone: (813) 288-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (FL)

Record details

NPI number1164513230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darlene Finnell — Director Of Ins. And Credentialing · (813) 288-1999
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJune 22, 2016
Mailing address4010 W Boy Scout Blvd, Suite 1100-Credentialing, Tampa, FL 33607-5727

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