OrganizationActive
Coastline Surgical Group, PLLC
NPI 1629708821 · Surgery Physician · Venice, FL
Provider details
- NPI number
- 1629708821
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shea Jones, Manager(941) 786-0790
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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.
Practice location
411 Commercial Ct Bldg 4
Venice, FL 34292-1650
Phone: (941) 786-0790
Street-level locationGet directions
Mailing address
411 Commercial Ct Bldg 4
Venice, FL 34292-1650
Registry dates
- Enumerated
- 2022-06-13
- Last updated
- 2022-06-17
- Certified
- 2022-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.