Organization
COASTAL PHYSICIAN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY L DARSTEK (CEO)
(239) 898-3836
Entity
Organization
Contact information
Practice address
9250 CORKSCREW RD, SUITE 3, ESTERO, FL 33928-3208
(239) 498-2528
Mailing address
1865 VETERANS PARK DR STE 202, NAPLES, FL 34109-0447
(239) 898-3836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us