| NPI | 1881185494 |
|---|---|
| Doing Business As | COASTAL SPINE AND INJURY CENTER |
| Entity Type | Organization |
| Authorized Contact | LEONARD A. ROLLMAN Clinic Director 386-238-9092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL Ch11028) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2021-09-03 |