| Coastal Urgent Care Centers | |
|
811 Del Prado Blvd S Ste B Cape Coral FL 33990-2666 | |
| (239) 360-2634 | |
| Not Available |
| Full Name | Coastal Urgent Care Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 811 Del Prado Blvd S Ste B, Cape Coral, Florida |
| Authorized Official Name and Position | Erica Chapman (MEMBER) |
| Authorized Official Contact | 2393602634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Urgent Care Centers 811 Del Prado Blvd S Ste B Cape Coral FL 33990-2666 Ph: (239) 360-2634 | Coastal Urgent Care Centers 811 Del Prado Blvd S Ste B Cape Coral FL 33990-2666 Ph: (239) 360-2634 |
| NPI Number | 1720648355 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Medicare PECOS PAC ID | 3476885575 |
|---|---|
| Medicare Enrollment ID | O20191022003109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720648355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
| Provider Name | Enrique Ruiz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497881692 PECOS PAC ID: 1456438746 Enrollment ID: I20080410000769 |
| Provider Name | Cristin Nicole Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902289374 PECOS PAC ID: 1355642679 Enrollment ID: I20151210001454 |
| Provider Name | Lindsey K Eisenberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528264694 PECOS PAC ID: 6204928302 Enrollment ID: I20160531001121 |
| Provider Name | Natalie R Iverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699139295 PECOS PAC ID: 4880972918 Enrollment ID: I20161025001444 |
| Provider Name | Sara a Breault |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528443793 PECOS PAC ID: 4082922851 Enrollment ID: I20180123001129 |
| Provider Name | Amanda R Axel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508334210 PECOS PAC ID: 4688919483 Enrollment ID: I20181226001085 |
| Provider Name | Victoria Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912530809 PECOS PAC ID: 7012348964 Enrollment ID: I20200511001190 |
| Provider Name | Chelsea M Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770185746 PECOS PAC ID: 6002224045 Enrollment ID: I20210413000317 |
| Provider Name | Benjamin Robert Sprosty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356910350 PECOS PAC ID: 0143624650 Enrollment ID: I20210805002006 |
| Provider Name | Brian Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841690252 PECOS PAC ID: 0941420780 Enrollment ID: I20211005002850 |
| Provider Name | Herbert Kalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124699293 PECOS PAC ID: 2961896774 Enrollment ID: I20220221001881 |
| Provider Name | Vejay S Harrypersaud |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700507472 PECOS PAC ID: 3779959507 Enrollment ID: I20221019003396 |
| Provider Name | Perry W Crawford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760099576 PECOS PAC ID: 1759792823 Enrollment ID: I20221028002449 |
| Provider Name | Kaelyn L Fisher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659084028 PECOS PAC ID: 8325410079 Enrollment ID: I20230207001673 |
| Provider Name | Sunita Raghubar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861273765 PECOS PAC ID: 5799138947 Enrollment ID: I20240124003020 |
| Provider Name | Richele L Creppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508247867 PECOS PAC ID: 2466754593 Enrollment ID: I20240212000557 |
| Provider Name | Grace Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447070214 PECOS PAC ID: 9234663493 Enrollment ID: I20241111001026 |
Tropical Family Medicine Associates PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2002 Del Prado Blvd S, Suite 102, Cape Coral, FL 33990 Phone: 239-573-4826 |
Multicare Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 856 Cape Coral Pkwy E, Cape Coral, FL 33904 Phone: 239-415-1900 Fax: 239-415-1905 |
Physicians Primary Care of Southwest Florida, Pl Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1304 Se 8th Ter, Cape Coral, FL 33990 Phone: 239-574-1988 Fax: 239-574-7765 |
Best Value Healthcare LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Se 16th Pl, Cape Coral, FL 33990 Phone: 239-673-6516 Fax: 239-673-6536 |
Laurel Oak Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 Sw 47th Ter, Cape Coral, FL 33914 Phone: 239-945-1919 Fax: 239-945-2392 |
Fast Track Health LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2102 Se 10th Ter, Cape Coral, FL 33990 Phone: 239-322-2012 |