| Coastal Medical Integration Inc | |
|
3481 Gulf Breeze Pkwy Gulf Breeze FL 32563-1402 | |
| (850) 903-1708 | |
| Not Available |
| Full Name | Coastal Medical Integration Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3481 Gulf Breeze Pkwy, Gulf Breeze, Florida |
| Authorized Official Name and Position | Sheila Decker (OWNER) |
| Authorized Official Contact | 8509031383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Medical Integration Inc 3481 Gulf Breeze Pkwy Gulf Breeze FL 32563-1402 Ph: (850) 903-1708 | Coastal Medical Integration Inc 3481 Gulf Breeze Pkwy Gulf Breeze FL 32563-1402 Ph: (850) 903-1708 |
| NPI Number | 1326638818 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 09/03/2025 |
| Certification Date | 09/03/2025 |
| Medicare PECOS PAC ID | 0143721811 |
|---|---|
| Medicare Enrollment ID | O20250903001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326638818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| Provider Name | Sheila S Decker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326334426 PECOS PAC ID: 7618137027 Enrollment ID: I20250905001180 |
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