Coast Florida PA
NPI 1275109258ActiveOrganization· Dentist· Melbourne, FL
Dentist in Melbourne, Florida, registered in NPPES in June 2021, part of Coast Florida PA. The authorized official on file is Melody Rivera, Credentialing Manager.
Overview
| NPI | 1275109258 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Coast Florida PA |
| NPI issued | Jun 1, 2021 |
| Last updated in NPPES | Jun 1, 2021 |
| Certified by provider | Jun 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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