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

Coastal Physician Care LLC

Organization Family Medicine Physician · NPI 1124424098

Coastal Physician Care LLC is a Family Medicine Physician in Estero, Florida. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
6
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

9250 Corkscrew Rd Ste 3
Estero, FL 33928-3208
Phone: (239) 498-2528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X
Adult Medicine Physician Taxonomy 207QA0505X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Internal Medicine Physician Taxonomy 207R00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X

Record details

NPI number1124424098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Darstek — Ceo · (239) 898-3836
NPI enumeratedNovember 5, 2014
Last updated in NPPESNovember 5, 2014
Mailing address1865 Veterans Park Dr Ste 202, Naples, FL 34109-0447

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