# COASTAL HEALTHCARE JAX INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699643718
- **Authorized official:** TIMOTHY STEFLIK (OWNER)
- **Authorized official phone:** (801) 735-8857

## Contact information

- **Practice address:** 102 DIXIE DR, TALLAHASSEE, FL 32304-3019
- **Practice address phone:** (850) 328-4050
- **Mailing address:** 315 N RIDGEWOOD AVE, EDGEWATER, FL 32132-1617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2025
- **Last updated:** 10/29/2025