| NPI | 1578223764 |
|---|---|
| Doing Business As | EAST COAST HEALTH GROUP |
| Entity Type | Organization |
| Authorized Contact | VANESSA WILCZAK Authorized Official 904-513-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2024-03-08 |