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

Coastline Surgical Group, PLLC

Organization Surgery Physician · NPI 1629708821

Coastline Surgical Group, PLLC is a Surgery Physician in Venice, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

411 Commercial Ct Bldg 4
Venice, FL 34292-1650
Phone: (941) 786-0790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1629708821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shea Jones — Manager · (941) 786-0790
NPI enumeratedJune 13, 2022
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022
Mailing address411 Commercial Ct Bldg 4, Venice, FL 34292-1650

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