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COASTAL INJURY CLINIC LLC NPI 1437768033


NPI Information

NPI: 1437768033
Provider Name: COASTAL INJURY CLINIC LLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 10D2199859

Address:
2700 RIVERSIDE AVE STE 1
JACKSONVILLE, FL
ZIP 32205
Phone: (904) 559-6638
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COASTAL INJURY CLINIC LLC is a pain medicine physical medicine rehabilitation in Jacksonville, FL. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. COASTAL INJURY CLINIC LLC NPI is 1437768033. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2700 RIVERSIDE AVE STE 1
JACKSONVILLE, FL
ZIP 32205-233
Phone: (904) 559-6638
Fax: (888) 927-0401

The provider's authorized official is Andrew T Christman .
The authorized official title is Ceo and has the following contact phone number (941) 685-7688.

The CLIA number assigned to this NPI record is 10D2199859 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2020 and was last updated on 4/26/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2207X00000XOrthopaedic SurgeryNo
32081P2900XPhysical Medicine & RehabilitationPain MedicineYes
4213E00000XPodiatristNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.