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

Coastal Cardiology P A

Organization Cardiovascular Disease Physician · NPI 1174588255

Coastal Cardiology P A is a Cardiovascular Disease Physician in Fort Myers, Florida. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

16261 Bass Rd Ste 300
Fort Myers, FL 33908-3671
Phone: (239) 274-8866
Fax: (239) 274-8867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1174588255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Conrad — Staff Physician · (239) 274-8866
NPI enumeratedApril 20, 2006
Last updated in NPPESMay 24, 2010
Mailing addressPo Box 24853, Miami, FL 33102-4853

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