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

Coastal Skilled Care Providers LLC

Organization Internal Medicine Physician · NPI 1508272683

Coastal Skilled Care Providers LLC is an Internal Medicine Physician in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

767 Timothy St
Ormond Beach, FL 32174-2909
Phone: (407) 496-9399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME98984 (FL)

Record details

NPI number1508272683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lothar Gebauer — Officer · (407) 496-9399
NPI enumeratedJuly 9, 2014
Last updated in NPPESJuly 9, 2014
Mailing address767 Timothy St, Ormond Beach, FL 32174-2909

Other providers in Ormond Beach