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

Coastal Mobile Ultrasound

Organization Diagnostic Ultrasound Physician · NPI 1376228429

Coastal Mobile Ultrasound is a Diagnostic Ultrasound Physician in Palm Coast, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4 Long Lake Way
Palm Coast, FL 32137-1617
Phone: (904) 494-8560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Ultrasound Physician (primary) Taxonomy 2085U0001X

Record details

NPI number1376228429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vanessa Ferketich — Owner · (904) 494-8560
NPI enumeratedJune 16, 2023
Last updated in NPPESJune 16, 2023
Certification dateJune 16, 2023
Mailing address4 Long Lake Way, Palm Coast, FL 32137-1617

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