COASTAL SPINE AND SPORT OF DAYTONA BEACH

DAYTONA BEACH, FL
NPI1346679610
Entity TypeOrganization
Authorized ContactCHRIS LEE WOJCIK
Managing Member
407-496-7998
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: FL  CH9679)
Enumeration Date2013-11-06
Last Update Date2013-11-06
Business Address
COASTAL SPINE AND SPORT OF DAYTONA BEACH
912 S RIDGEWOOD AVE STE. D
DAYTONA BEACH, FL 32114-5349
Phone number: 407-496-7998
Mailing Address
COASTAL SPINE AND SPORT OF DAYTONA BEACH
912 S RIDGEWOOD AVE STE. D
DAYTONA BEACH, FL 32114-5349
Phone number: