Coastal Shoreline Medical Group
Coastal Shoreline Medical Group is an Internal Medicine Physician in Lakewood Ranch, Florida. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
12522 Rockrose GlnLakewood Ranch, FL 34202-2827
Phone: (813) 944-9365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1164398806 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kimberly Borsheim — Administrator · (813) 944-9365 |
| NPI enumerated | October 10, 2025 |
| Last updated in NPPES | October 10, 2025 |
| Certification date | October 10, 2025 |
| Mailing address | 12522 Rockrose Gln, Lakewood Ranch, FL 34202-2827 |
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