Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Coastline Medical Services Pllc

Medical Specialty Clinic/Center in Fort Walton Beach, FL · enumerated 2016 · authorized official Michael Tavernaris, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003361767

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Registry record

Entity type Organization (Type 2)

Legal business name Coastline Medical Services Pllc

Practice address 1817 Lewis Turner Blvd Ste F, Fort Walton Beach, FL, 32547

Phone (850) 396-1110

Enumeration date Aug 23, 2016

Last updated in NPPES Sep 27, 2024

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License ME116308 (FL) Primary

Authorized official

Name Michael Tavernaris

Title Physician

Phone (850) 396-1110

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-09-27. Verify at npiregistry.cms.hhs.gov.

Where is Coastline Medical Services Pllc located?

The practice location on file with NPPES is in Fort Walton Beach, FL.

Providers at this address

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Michael Tavernaris Family Medicine Physician · Fort Walton Beach, FL NPI 1386888626

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-27.