Coastal Complete Care, Pa
Chiropractor
100 Plantation Rd, Perry
Florida, 32348-6000
850-584-6000 Coastal Complete Care, Pa is a Chiropractor in Perry, Florida. It is located at 100 Plantation Rd, Perry and it's customer support contact number is 850-584-6000. The authorized person of Coastal Complete Care, Pa is Jamie Portwood who is Billing Manager of this DME and his contact number is 850-584-6000. Coastal Complete Care, Pa accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Coastal Complete Care, Pa is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
DME Supplier Details:
Coastal Complete Care, Pa type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Coastal Complete Care, Pa |
| Type: | Chiropractor |
| Location: | 100 Plantation Rd, Perry,
Florida, 32348-6000 |
| Phone: | 850-584-6000 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Jamie Portwood |
| Position: | Billing Manager |
| Contact Number: | 850-584-6000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1720483043 |
| NPI Enumeration Date: | 29 Oct, 2014 |
| NPI Last Update On: | 18 Oct, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Coastal Complete Care, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Chiropractor | | Florida | Primary | |
| General Practice | | Florida | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Coastal Complete Care, Pa is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8921323247 | O20150209001329 | Coastal Complete Care, Pa | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 100 Plantation Rd,
Perry, Florida |
| Zip: | 32348-6000 |
| Phone Number: | 850-584-6000 |
Patients can reach Coastal Complete Care, Pa at
100 Plantation Rd, Perry, Florida or can
call on customer care at 850-584-6000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.