Organization
COASTLINE PHYSICAL THERAPY LLC
Active
Organization
COASTLINE PHYSICAL THERAPY LLC
Active
Other names
Fyzical Therapy & Balance Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MINELLA (OWNER)
(770) 235-0071
Entity
Organization
Contact information
Practice address
3781 S NOVA RD STE B, PORT ORANGE, FL 32129-4285
(770) 235-0071
Mailing address
704 HORTON ST, NEW SMYRNA BEACH, FL 32169-2920
(770) 235-0071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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