Organization
COQUINA CENTER, LLC
Active
Other names
Coquina Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ALISE ZIOLKOWSKI MBA (VP FINANCE)
(813) 558-6629
Entity
Organization
Contact information
Practice address
170 N CENTER ST, ORMOND BEACH, FL 32174-5186
(386) 672-7113
(386) 672-7128
Mailing address
170 N CENTER ST, ORMOND BEACH, FL 32174-5186
(386) 672-7113
(386) 672-7128
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF13470961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004438178
AETNA
FL
05
—
026064900
—
FL
01
—
71-00466
UNITED HEALTH CARE
FL
01
—
C105589
UNITED AMERICAN
FL
01
—
K4Z
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/13/2005
Last updated
06/12/2024
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