MEDICARE: COASTAL PULMONARY & CRITICAL CARE PLC

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
2	207RP1001X	Pulmonary Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558391474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COASTAL PULMONARY & CRITICAL CARE PLC

Provider Business Mailing Address
First Line	:	2639 DR ML KING JR ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33704-2733
Country	:	US
Telephone Number	:	727-822-6661
Fax Number	:	727-823-1334

Provider Business Practice Location Address
First Line	:	2639 DR ML KING JR ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33704-2733
Country	:	US
Telephone Number	:	727-822-6661
Fax Number	:	727-823-1334

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WARREN RUSSELL ABEL
Credential	:	MD
Telephone Number	:	727-822-6661

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	01/15/2026

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