What is Coastline Medical Services PLLC's NPI number?

Coastline Medical Services PLLC's National Provider Identifier (NPI) is 1003361767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Coastline Medical Services PLLC?

Coastline Medical Services PLLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).

Where is Coastline Medical Services PLLC located?

Coastline Medical Services PLLC's practice location on file with NPPES is 1817 Lewis Turner Blvd Ste F, Fort Walton Beach, FL 32547-1349.

What is Coastline Medical Services PLLC's phone number?

The practice phone number listed in the NPPES registry for Coastline Medical Services PLLC is (850) 396-1110.

Does Coastline Medical Services PLLC accept Medicare?

Coastline Medical Services PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Coastline Medical Services PLLC?

The authorized official listed on Coastline Medical Services PLLC's NPPES record is Michael Tavernaris, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Coastline Medical Services PLLC's NPI active?

Yes — Coastline Medical Services PLLC's NPI (1003361767) is active in the NPPES registry as of the last update on 2024-09-27.

OrganizationActiveAccepts Medicare

Coastline Medical Services PLLC

NPI 1003361767 · Medical Specialty Clinic/Center · Fort Walton Beach, FL

Coastline Medical Services PLLC is a Medical Specialty Clinic/Center organization in Fort Walton Beach, FL (NPI 1003361767).

Provider details

NPI number: 1003361767
Entity type: Organization
Primary specialty: Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Michael Tavernaris, Physician(850) 396-1110

Practice location

1817 Lewis Turner Blvd Ste F

Fort Walton Beach, FL 32547-1349

Phone: (850) 396-1110

Street-level locationGet directions

More FL providers

Mailing address

208 Mary Esther Blvd

Mary Esther, FL 32569-1687

Specialties & taxonomies

Medical Specialty Clinic/CenterPrimary261QM2500XLicense ME116308 (FL)
Ambulatory Health Care Facilities
Sports Medicine (Family Medicine) Physician207QS0010X
Allopathic & Osteopathic Physicians

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(72/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2016-08-23
Last updated: 2024-09-27
Certified: 2024-09-27

Frequently asked questions

What is Coastline Medical Services PLLC's NPI number?: Coastline Medical Services PLLC's National Provider Identifier (NPI) is 1003361767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Coastline Medical Services PLLC?: Coastline Medical Services PLLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
Where is Coastline Medical Services PLLC located?: Coastline Medical Services PLLC's practice location on file with NPPES is 1817 Lewis Turner Blvd Ste F, Fort Walton Beach, FL 32547-1349.
What is Coastline Medical Services PLLC's phone number?: The practice phone number listed in the NPPES registry for Coastline Medical Services PLLC is (850) 396-1110.
Does Coastline Medical Services PLLC accept Medicare?: Coastline Medical Services PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Coastline Medical Services PLLC?: The authorized official listed on Coastline Medical Services PLLC's NPPES record is Michael Tavernaris, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Coastline Medical Services PLLC's NPI active?: Yes — Coastline Medical Services PLLC's NPI (1003361767) is active in the NPPES registry as of the last update on 2024-09-27.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions