Healthcare Provider Details

I. General information

NPI: 1871643361
Provider Name (Legal Business Name): COASTAL MEDICAL PRODUCTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 SUN COVE LN
WEST PALM BEACH FL
33410-5220
US

IV. Provider business mailing address

2535 SUN COVE LN
WEST PALM BEACH FL
33410-5220
US

V. Phone/Fax

Practice location:
  • Phone: 732-528-4607
  • Fax: 732-528-0937
Mailing address:
  • Phone: 732-528-4607
  • Fax: 732-528-0937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN RIZZO
Title or Position: PRESIDENT OWNER
Credential:
Phone: 732-528-4607