Organization
COASTAL ORTHOPEDICS & SPORTS MEDICINE OF SOUTHWEST FLORIDA PA
Active
Other names
Bradenton Orthopaedic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAIGE LEMAY (CEO)
(941) 792-1404
Entity
Organization
Contact information
Practice address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 761-0712
Mailing address
8000 STATE ROAD 64 E, BRADENTON, FL 34212-7703
(941) 792-1404
(941) 761-0712
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00712
BCBS FL
FL
05
—
264533500
—
FL
01
—
CF1532
RAILROAD MEDICARE
FL
Enumeration date
08/21/2006
Last updated
02/10/2025
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