Organization
COASTAL HEALTH INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE RELLER (EXECUTIVE DIRECTOR)
(904) 537-2254
Entity
Organization
Contact information
Practice address
11555 CENTRAL PKWY STE 201, JACKSONVILLE, FL 32224-2693
(904) 537-2254
Mailing address
11555 CENTRAL PKWY STE 201, JACKSONVILLE, FL 32224-2693
(904) 537-2254
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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