COASTAL SPINE AND SPORT OF DAYTONA BEACH
NPI 1346679610
Clinic/Center in Daytona Beach, FL
- Organization
- Clinic/Center
About COASTAL SPINE AND SPORT OF DAYTONA BEACH
This page provides the complete NPI Profile along with additional information for Coastal Spine And Sport Of Daytona Beach, a provider established in Daytona Beach, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1346679610 assigned on November 2013. The practitioner's primary taxonomy code is 261Q00000X with license number CH9679 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Chris Lee Wojcik Dc (Managing Member)
- NPI
- 1346679610 Verify this NPI
- Provider Name
- COASTAL SPINE AND SPORT OF DAYTONA BEACH
- Entity Type
- Organization
- Location Address
- 912 S RIDGEWOOD AVE STE. D DAYTONA BEACH, FL 32114
- Location Phone
- (407) 496-7998
- Mailing Address
- 912 S RIDGEWOOD AVE STE. D DAYTONA BEACH, FL 32114
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-06-2013
- Last Update Date
- 11-06-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- CH9679
- License State
- FL
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
DAYTONA BEACH, FL 32114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346679610, enumerated as an "organization" on November 06, 2013.
The provider is located at 912 S RIDGEWOOD AVE STE. D DAYTONA BEACH, FL 32114 and the phone number is (407) 496-7998.
Clinic/Center with taxonomy code 261Q00000X.
