Coastal Integrative Healthcare Inc | |
315 N Ridgewood Ave, Edgewater, FL 32132-1617 | |
(386) 427-8403 | |
Not Available |
Full Name | Coastal Integrative Healthcare Inc |
---|---|
Type | Facility |
Speciality | Nurse Practitioner |
Location | 315 N Ridgewood Ave, Edgewater, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093126203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Timothy Martin Steflik |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1285919456 PECOS PAC ID: 9133394976 Enrollment ID: I20111207000058 |
Provider Name | Melony K Thomas |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1972871754 PECOS PAC ID: 0749430999 Enrollment ID: I20121024000141 |
Provider Name | Tiffany L Thornton |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912349903 PECOS PAC ID: 8224257035 Enrollment ID: I20140909002708 |
Provider Name | Crist L Francisco |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821461229 PECOS PAC ID: 0345548624 Enrollment ID: I20160420000870 |
Provider Name | Samantha R Wunder |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1922559889 PECOS PAC ID: 3375827660 Enrollment ID: I20170306001355 |
Provider Name | Tara L Swanton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982147963 PECOS PAC ID: 1759658735 Enrollment ID: I20170523000438 |
Provider Name | William G Salter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760900070 PECOS PAC ID: 3678849080 Enrollment ID: I20171030000851 |
Provider Name | Jessica Cole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225516461 PECOS PAC ID: 6406191139 Enrollment ID: I20181227000446 |
Provider Name | Charles Alan Cantrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801317219 PECOS PAC ID: 1759708746 Enrollment ID: I20200908000728 |
Provider Name | Michael Vincent Dibella |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1134628035 PECOS PAC ID: 2668874603 Enrollment ID: I20210713002043 |
Provider Name | Carly Burke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871239723 PECOS PAC ID: 9830572635 Enrollment ID: I20220811001079 |
Provider Name | Brittany Nikolow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154837789 PECOS PAC ID: 6305291089 Enrollment ID: I20231016002516 |
Provider Name | Aspen Elizabeth Coggins |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1902564479 PECOS PAC ID: 6709233307 Enrollment ID: I20231102003886 |
Mailing Address | Practice Location Address |
---|---|
Coastal Integrative Healthcare Inc 315 N Ridgewood Ave, Edgewater, FL 32132-1617 Ph: (386) 427-8403 | Coastal Integrative Healthcare Inc 315 N Ridgewood Ave, Edgewater, FL 32132-1617 Ph: (386) 427-8403 |