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NPI 1508798133

NPI 1508798133 : COASTAL COLLECTIVE HEALTH AND WELLNESS, PLLC : PORT SAINT LUCIE, FL

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General NPI Number Information
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    NPI Number           |    1508798133
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    Entity Type          |    Organization 
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    Legal Business Name  |    COASTAL COLLECTIVE HEALTH AND WELLNESS, PLLC 
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Dates
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    Enumeration Date     |    05/29/2026
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    Last Update Date     |    05/29/2026
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Provider Practice Location Address
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    Address Line         |    2691 SW FEATHER TER 
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    City                 |    PORT SAINT LUCIE
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    State                |    FL
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    Zip                  |    34953-4136
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    Country              |    US
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    Telephone            |    772-361-3490
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2691 SW FEATHER TER 
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    City                 |    PORT SAINT LUCIE
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    State                |    FL
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    Zip                  |    34953-4136
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    Country              |    US
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    Telephone            |    772-361-3490
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PROVIDER, CO-FOUNDER
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    Name                 |     BRITTNEE  SPOONER 
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    Credential           |    APRN, FNP-BC
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    Telephone            |    772-361-3490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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