Healthcare Provider Details

I. General information

NPI: 1497680664
Provider Name (Legal Business Name): SHORELINE HEALTH ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

284 S BREVARD AVE
COCOA BEACH FL
32931-2797
US

IV. Provider business mailing address

284 S BREVARD AVE
COCOA BEACH FL
32931-2797
US

V. Phone/Fax

Practice location:
  • Phone: 321-260-2101
  • Fax: 321-641-6594
Mailing address:
  • Phone: 321-260-2101
  • Fax: 321-641-6594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN S MURPHY
Title or Position: OWNER
Credential: APRN
Phone: 321-626-2481