OrganizationActive
Coastal Complete Care, PA
NPI 1720483043 · Chiropractor · Perry, FL
Provider details
- NPI number
- 1720483043
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Jamie Portwood, Billing Manager(850) 584-6000
Specialties & taxonomies
Chiropractic Providers
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
100 Plantation Rd
Perry, FL 32348-6000
Phone: (850) 584-6000
Street-level locationGet directions
Mailing address
100 Plantation Rd
Perry, FL 32348-6000
Registry dates
- Enumerated
- 2014-10-29
- Last updated
- 2018-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.