CHARLES D MARTIN JR DC PA NPI 1487749297

NPI Information

CHARLES D MARTIN JR DC PA is a chiropractor in Edgewater, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CHARLES D MARTIN JR DC PA NPI is 1487749297. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Coastal Chiropractic Clinic.

The provider's business location address is:

2568 S RIDGEWOOD AVE
STE 5
EDGEWATER, FL
ZIP 32141-980
Phone: (386) 427-8403
Fax: (386) 427-8410

The provider's authorized official is Timothy M Steflik .
The authorized official title is President Owner and has the following contact phone number (386) 427-8403.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 2/21/2012.

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:

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