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 is a Family Medicine Physician 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
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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