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Organization
COASTAL INTEGRATIVE HEALTHCARE INC
Active
Organization
COASTAL INTEGRATIVE HEALTHCARE INC
Active
Parent organization
COASTAL INTEGRATIVE HEALTHCARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL INTEGRATIVE HEALTHCARE INC
Authorized official
TIMOTHY MARTIN STEFLIK (OWNER)
(386) 427-8403
Entity
Organization
Contact information
Practice address
145 CYPRESS POINT PKWY STE 208, PALM COAST, FL 32164-8427
(386) 445-4455
Mailing address
145 CYPRESS POINT PKWY STE 208, PALM COAST, FL 32164-8427
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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