| Coastal Spine And Pain Center | |
|
2700 Riverside Ave Suite 2 Jacksonville FL 32205-8275 | |
| (904) 265-7020 | |
| (904) 265-7039 |
| Full Name | Coastal Spine And Pain Center |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 2700 Riverside Ave, Jacksonville, Florida |
| Authorized Official Name and Position | Andrew T Christman (CEO) |
| Authorized Official Contact | 9416857688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Spine And Pain Center 705 Wells Rd Ste 300 Orange Park FL 32073-2982 Ph: (904) 282-6331 | Coastal Spine And Pain Center 2700 Riverside Ave Suite 2 Jacksonville FL 32205-8275 Ph: (904) 265-7020 |
| NPI Number | 1952706368 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 04/26/2024 |
| Medicare PECOS PAC ID | 1254238579 |
|---|---|
| Medicare Enrollment ID | O20200929001917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952706368 | NPI | - | NPPES |
| 259123500 | Medicaid | FL |
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