Coastal Spine and Sport of Daytona Beach
Coastal Spine and Sport of Daytona Beach is a Clinic/Center in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2013.
- Licensed in
- FL
- In the registry since
- 2013
Practice location Address checks out
912 S Ridgewood Ave Ste DDaytona Beach, FL 32114-5349
Phone: (407) 496-7998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence CH9679 (FL) |
|---|
Record details
| NPI number | 1346679610 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chris Wojcik — Managing Member · (407) 496-7998 |
| NPI enumerated | November 6, 2013 |
| Last updated in NPPES | November 6, 2013 |
| Mailing address | 912 S Ridgewood Ave, Ste. D, Daytona Beach, FL 32114-5349 |
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