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COASTAL SPINE AND SPORT OF DAYTONA BEACH
NPI 1346679610
Clinic/Center in Daytona Beach, FL

Active since November 06, 2013
912 S RIDGEWOOD AVE, STE. D, DAYTONA BEACH, FL 32114(407) 496-7998 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Coastal Spine And Sport Of Daytona Beach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL SPINE AND SPORT OF DAYTONA BEACH (NPI 1346679610) is a healthcare organization registered as a clinic/center in Daytona Beach, Florida and active in the NPI registry since November 2013. The organization lists Chris Lee Wojcik, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1346679610
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOASTAL SPINE AND SPORT OF DAYTONA BEACH
Location Address912 S RIDGEWOOD AVE, STE. DDaytona Beach, FL 32114-5349
Mailing Address912 S Ridgewood Ave, Ste. DDaytona Beach, FL 32114-5349
Phone(407) 496-7998
Organization SubpartNo
Authorized OfficialChris Lee WojcikManaging Member · (407) 496-7998
Enumeration DateNovember 6, 2013
✔ NPI 1346679610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in FL · CH9679
Definition

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).

912 S RIDGEWOOD AVE, Daytona Beach, FL 32114
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RODERICK M MACINTYRE III D.M.D.; M.S.
Dentist (Endodontics)
912 S RIDGEWOOD AVE, SUITE C
DAYTONA BEACH, FL 32114
Volusia County (386) 252-0858
EAST COAST ENDODONTICS
Clinic/Center (Dental)
912 S RIDGEWOOD AVE, SUITE C
DAYTONA BEACH, FL 32114
Volusia County (386) 252-0858

Frequently Asked Questions

What is COASTAL SPINE AND SPORT OF DAYTONA BEACH's NPI number?

The NPI number assigned to this healthcare provider is 1346679610, enumerated as an "organization" on November 06, 2013.

Where is the provider located?

The provider is located at 912 S RIDGEWOOD AVE STE. D DAYTONA BEACH, FL 32114 and the phone number is (407) 496-7998.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.