MEDICARE: COASTAL PREMIER CARE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1184556821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COASTAL PREMIER CARE LLC

Provider Business Mailing Address
First Line	:	12776 JOSSLYN LN
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-2292
Country	:	US
Telephone Number	:	904-309-2335
Fax Number	:

Provider Business Practice Location Address
First Line	:	12776 JOSSLYN LN
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-2292
Country	:	US
Telephone Number	:	904-309-2335
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NILAY SUNIL DHARMA
Credential	:
Telephone Number	:	904-309-2335

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

Similar Medicare Providers

1063529113 — DR. EVELYN LIMCANGCO HERRERA DMD
Practice Location Address:

2292 MAYPORT RD , SUITE #17
JACKSONVILLE, FL
32233

Practice Phone: 904-249-4269
Practice Fax: 904-249-4269

1649101486 — DARIGNI PINEDA
Practice Location Address:

2549 WHITE HORSE RD E
JACKSONVILLE, FL
32246-1762

Practice Phone: 904-666-8405
Practice Fax:

1518841212 — MS. MAYUKO MONDESTIN
Practice Location Address:

9889 GATE PKWY N BLDG 200
JACKSONVILLE, FL
32246-9228

Practice Phone: 904-725-0200
Practice Fax:

1528679818 — LARRY RAYMOND PIERSON LPC, LMHC
Practice Location Address:

9995 GATE PKWY N STE 100
JACKSONVILLE, FL
32246-0800

Practice Phone: 833-769-3524
Practice Fax: 706-410-1490

1891669115 — VERCHARN WILLIAMS-JONES
Practice Location Address:

2410 CINNAMON SPRINGS TRL
JACKSONVILLE, FL
32246-5165

Practice Phone: 904-252-2611
Practice Fax:

1831870211 — ADVANCED CARE PEDIATRICS OF FLORIDA, LLC
Practice Location Address:

9731 BEACH BLVD STE 29
JACKSONVILLE, FL
32246-4701

Practice Phone: 772-321-1963
Practice Fax:

Directions to “COASTAL PREMIER CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.