MEDICARE: COASTAL OB GYN PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	OS3867	FL
2	363LW0102X	Women's Health Nurse Practitioner	ARNP2982552	FL
3	367A00000X	Advanced Practice Midwife	ARNP827662	FL
4	207V00000X	Obstetrics & Gynecology Physician	ME65397	FL
5	207V00000X	Obstetrics & Gynecology Physician	ME75682	FL
6	207V00000X	Obstetrics & Gynecology Physician	ME64912	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33087	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1023168671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COASTAL OB GYN PA

Provider Business Mailing Address
First Line	:	600 N COVE BLVD
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-3628
Country	:	US
Telephone Number	:	850-785-0515
Fax Number	:	850-785-1995

Provider Business Practice Location Address
First Line	:	600 N COVE BLVD
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-3628
Country	:	US
Telephone Number	:	850-785-0515
Fax Number	:	850-785-1995

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GREGORY K MORROW
Credential	:	MD
Telephone Number	:	850-785-0515

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	09/11/2025

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Directions to “COASTAL OB GYN PA ” Practice Location

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