Healthcare Provider Details

I. General information

NPI: 1467365098
Provider Name (Legal Business Name): COASTAL NEUROSURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3280 DAUPHIN ST
MOBILE AL
36606-4060
US

IV. Provider business mailing address

18 S ANN ST
MOBILE AL
36604-2145
US

V. Phone/Fax

Practice location:
  • Phone: 251-802-7730
  • Fax:
Mailing address:
  • Phone: 251-802-7730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: EDWARD FLOTTE
Title or Position: PRESIDENT
Credential: MD
Phone: 251-802-7730