| NPI | 1427595057 |
|---|---|
| Doing Business As | COASTAL CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LARRY LEE SMITH Physician Owner 321-327-7014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2024-08-13 |