Healthcare Provider Details

I. General information

NPI: 1013392240
Provider Name (Legal Business Name): COASTAL CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2015
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 SW 75TH AVE STE 300A
MIAMI FL
33155-4468
US

IV. Provider business mailing address

5000 SW 75TH AVE STE 300A
MIAMI FL
33155-4468
US

V. Phone/Fax

Practice location:
  • Phone: 855-481-0505
  • Fax: 855-481-0606
Mailing address:
  • Phone: 855-481-0505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: YSEL GARCIA
Title or Position: SENIOR VP
Credential:
Phone: 786-454-9988