# COASTAL ANESTHESIA, P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932205606
- **Authorized official:** DR. MICHAEL EDERER DO (DO/PRESIDENT)
- **Authorized official phone:** (352) 867-8898

## Contact information

- **Practice address:** 1001 COLLEGE BLVD W STE H, NICEVILLE, FL 32578-1049
- **Practice address phone:** (850) 279-4417
- **Practice address fax:** (850) 279-4212
- **Mailing address:** PO BOX 10583, BIRMINGHAM, AL 35202-0583
- **Mailing address phone:** (352) 867-8898
- **Mailing address fax:** (352) 732-6282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | FL | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 07/21/2022