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

Coastal Heart & Vascular Institute PA

Organization Specialist · NPI 1104251230

Coastal Heart & Vascular Institute PA is a Specialist in North Port, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2500 Bobcat Village Center Rd Unit G
North Port, FL 34288-8476
Phone: (407) 963-3943
Fax: (407) 400-7966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (FL)

Record details

NPI number1104251230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Jara — President · (407) 963-3943
NPI enumeratedSeptember 9, 2013
Last updated in NPPESDecember 4, 2013
Mailing address2500 Bobcat Village Center Rd, Unit G, North Port, FL 34288-8476

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