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Coastal Spine And Sport Of Daytona Beach
Clinic/Center in Daytona Beach, Florida
NPI 1346679610

Coastal Spine And Sport Of Daytona Beach is a Clinic/Center based in Daytona Beach, FL. Coastal Spine And Sport Of Daytona Beach practices in Daytona Beach, FL. The NPI Number for Coastal Spine And Sport Of Daytona Beach is 1346679610 and holds a License No. CH9679 (Florida).

The current practice location address for Coastal Spine And Sport Of Daytona Beach is 912 S Ridgewood Ave, Daytona Beach, FL and can be reached out via phone at 407-496-7998.

Location: 912 S Ridgewood Ave, Daytona Beach, FL, 32114-5349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346679610
Provider Name
Coastal Spine And Sport Of Daytona Beach
Credential
Provider Entity Type
Organization
Address
912 S Ridgewood Ave, Daytona Beach, FL, 32114-5349
Phone Number
407-496-7998
Fax Number
Provider Enumeration Date
11/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
912 S Ridgewood Ave
City
Daytona Beach
State
Florida
Zip
32114-5349
Phone Number
407-496-7998
Fax Number
person
Provider Business Mailing Address Details
Address
912 S Ridgewood Ave
City
Daytona Beach
State
Florida
Zip
32114-5349
Phone Number
407-496-7998
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
CH9679 (Florida)
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).
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