Coastal Healthcare is a Sanibel Island direct primary care practice offering personalized care through a cash-pay membership model. The practice provides same-day access, chronic care management, telehealth, and ongoing primary care without insurance billing. Services described also include weight loss support with medications such as Semaglutide and Tirzepatide, men’s health services including testosterone therapy and erectile dysfunction treatment, and IV infusions. Coastal Healthcare serves residents of Sanibel Island and surrounding Fort Myers communities, with Kirsten Lamb, MSN, APRN, FNP-BC, serving as the primary care provider for direct primary care members.