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Organization

COQUINA SPORT & SPINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTIN WIMP DC, ATC (OWNER)
(904) 797-3232
Entity
Organization

Contact information

Practice address
2820 US 1 S STE B, ST AUGUSTINE, FL 32086-6311
(904) 797-3232
Mailing address
2820 US 1 S STE B, ST AUGUSTINE, FL 32086-6311
(904) 797-3232

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
07/07/2021
Last updated
12/14/2023
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