Organization
COASTAL SPINE AND SPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL OSBORNE DC (OWNER)
(386) 283-5997
Entity
Organization
Contact information
Practice address
10 CYPRESS POINT PKWY STE 106, PALM COAST, FL 32164-2503
(386) 283-5997
(386) 283-5652
Mailing address
10 CYPRESS POINT PKWY STE 106, PALM COAST, FL 32164-2503
(386) 283-5997
(386) 283-5652
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9489
FL
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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