Coastline Spine Chiropractic & Rehab, Pllc | |
101 Orange St, St Augustine, FL 32084-3564 | |
(904) 599-7791 | |
Not Available |
Full Name | Coastline Spine Chiropractic & Rehab, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 101 Orange St, St Augustine, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750058889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | William Levi Beasley |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548723273 PECOS PAC ID: 3678807872 Enrollment ID: I20190621001247 |
Mailing Address | Practice Location Address |
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Coastline Spine Chiropractic & Rehab, Pllc 101 Orange St, St Augustine, FL 32084-3564 Ph: (904) 599-7791 | Coastline Spine Chiropractic & Rehab, Pllc 101 Orange St, St Augustine, FL 32084-3564 Ph: (904) 599-7791 |
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