Coastline Medical Services PLLC
Coastline Medical Services PLLC provides Sports Medicine (Family Medicine) Physician services in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1817 Lewis Turner Blvd Ste FFort Walton Beach, FL 32547-1349
Phone: (850) 396-1110
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence ME116308 (FL) |
|---|---|
| Sports Medicine (Family Medicine) Physician | Taxonomy 207QS0010X |
Record details
| NPI number | 1003361767 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Tavernaris — Physician · (850) 396-1110 |
| NPI enumerated | August 23, 2016 |
| Last updated in NPPES | September 27, 2024 |
| Certification date | September 27, 2024 |
| Mailing address | 208 Mary Esther Blvd, Mary Esther, FL 32569-1687 |
Other providers in Fort Walton Beach
-
Dr. Michael E Tavernaris, MD
1817 Lewis Turner Blvd Ste F, Fort Walton Beach, FL 32547-1349 · (850) 396-1110