Coastal Chiropractic Clinic
Clinic/Center in Yulee, FL. Organization (NPI-2).
NPI number1831966381
StatusActive
Last updated in NPPESDec 5, 2023
Details
- NPI
- 1831966381
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Chiropractic Clinic
- Organization subpart
- No
- Enumeration date
- Dec 5, 2023
- Certification date
- Dec 5, 2023
- Last updated
- Dec 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
464073 State Road 200 Ste 4Yulee, FL 32097-6307
Phone 904-780-5050
Mailing address
95126 Gladiolus PlFernandina Beach, FL 32034-0035
Phone 732-977-8869
Authorized official
James Joseph Zielenski
Manager
7329778869
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