# COASTAL ORTHOPEDICS & SPORTS MEDICINE OF SOUTHWEST FLORIDA PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bradenton Orthopaedic Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285740720
- **Authorized official:** MS. PAIGE LEMAY (CEO)
- **Authorized official phone:** (941) 792-1404

## Contact information

- **Practice address:** 8000 SR 64 E, BRADENTON, FL 34212
- **Practice address phone:** (941) 792-1404
- **Practice address fax:** (941) 761-0712
- **Mailing address:** 8000 STATE ROAD 64 E, BRADENTON, FL 34212-7703
- **Mailing address phone:** (941) 792-1404
- **Mailing address fax:** (941) 761-0712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 02/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00712 | BCBS FL | FL |
| 05 | — | 264533500 | — | FL |
| 01 | — | CF1532 | RAILROAD MEDICARE | FL |