Provider Demographics
NPI:1568347557
Name:COASTAL SPINE & SPORTS MEDICINE, PLLC
Entity type:Organization
Organization Name:COASTAL SPINE & SPORTS MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:PECORARO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-233-5093
Mailing Address - Street 1:1125 TURNBERRY LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-5313
Mailing Address - Country:US
Mailing Address - Phone:910-262-1048
Mailing Address - Fax:910-256-6039
Practice Address - Street 1:1209 CULBRETH DR STE 102
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-8318
Practice Address - Country:US
Practice Address - Phone:910-834-8805
Practice Address - Fax:910-256-6039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty