COASTAL SPINE AND SPORT LLC NPI 1841562410

NPI Information

COASTAL SPINE AND SPORT, LLC is a chiropractor in Palm Coast, 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. COASTAL SPINE AND SPORT, LLC NPI is 1841562410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 CYPRESS POINT PKWY STE 106
PALM COAST, FL
ZIP 32164-503
Phone: (386) 283-5997
Fax: (386) 283-5652

The provider's authorized official is Michael Osborne .
The authorized official title is Owner and has the following contact phone number (386) 283-5997.

The enumeration date for this NPI number is 1/30/2012 and was last updated on 1/30/2012.

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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