Organization
COCOA CHIROPRACTIC & INJURY CENTER, INC.
Active
Other names
Cocoa Accident & Injury Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JIM TRASTELIS DC (OWNER)
(386) 847-7118
Entity
Organization
Contact information
Practice address
200 WILLARD ST, SUITE 1C, COCOA, FL 32922-8001
(321) 735-9050
(321) 735-9429
Mailing address
6284 PARADISE ISLAND CT, PORT ORANGE, FL 32128-6962
(386) 847-7118
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9957
FL
Other
Enumeration date
04/03/2013
Last updated
01/06/2014
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