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

Coastal Pediatrics LLC

Organization Primary Care Clinic/Center · NPI 1831199710

Coastal Pediatrics LLC is a Primary Care Clinic/Center in Ormond Beach, Florida. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1275 W Granada Blvd Ste 3A
Ormond Beach, FL 32174-8259
Phone: (386) 672-1490
Fax: (386) 672-1682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1831199710
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean-Claude Jeanty — Owner · (386) 672-1490
NPI enumeratedJuly 21, 2005
Last updated in NPPESAugust 22, 2020
Mailing address1275 W Granada Blvd, Ste 3a, Ormond Beach, FL 32174-8259

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