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

Coastalmdlive, LLC

Organization Psychiatry Physician · NPI 1255039418

Coastalmdlive, LLC is a Psychiatry Physician in Gulf Breeze, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

913 Gulf Breeze Pkwy Ste 3
Gulf Breeze, FL 32561-4728
Phone: (850) 860-4679
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1255039418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Neil — Owner/Physician · (850) 860-4679
NPI enumeratedFebruary 17, 2023
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023
Mailing address913 Gulf Breeze Pkwy Ste 3, Gulf Breeze, FL 32561-4728

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