Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Family Practice LLC

Organization Family Medicine Physician · NPI 1275552358

Coastal Family Practice LLC provides Family Medicine Physician services in Edgewater, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1404 S Ridgewood Ave
Edgewater, FL 32132-2720 Not confirmed with CMS for 16 years — call before visiting
Phone: (386) 426-8166
Fax: (386) 426-6399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence L800015935 (FL)

Record details

NPI number1275552358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pam Lacey — Practice Manager · (386) 761-6044
NPI enumeratedJuly 19, 2006
Last updated in NPPESNovember 9, 2009
Mailing address1404 S Ridgewood Ave, Edgewater, FL 32132-2720

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