Coastal Integrative Healthcare Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

COASTAL INTEGRATIVE HEALTHCARE INC

Practice address

315 N Ridgewood Ave
Edgewater, FL 32132-1617

Phone

(801) 735-8857

NPI assigned

Apr 2, 2021

Last updated

Apr 5, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy Martin SteflikNPI 1285919456

Title

Owner

Phone

(386) 427-8403

Specialties & licenses 1

Addresses

Tax ID family

Coastal Integrative Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Integrative Healthcare Inc

  • Nurse Practitioner
  • Edgewater, FL
  • NPI 1093126203
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Martin Steflik, DC

  • Chiropractor
  • Edgewater, FL
  • NPI 1285919456
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1154900728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321617",
            "telephone_number": "801-735-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL INTEGRATIVE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "STEFLIK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-427-8403"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Cicchetti, PT
• Circle of Connections, LLC
• Coastal Esthetics, LLC (Coastline Primary Care)
• Coastal Family Practice LLC
• Coastal Integrative Healthcare Inc
• Cristen Coker, MS, LMHC
• Frances F Colon
• Kevin Colucci
• Cathaleen Ann Connors, C.N.A
• Nicole Amanda Court, PHARMD

• Rehabilitation Clinic/Center in Edgewater, FL
• Providers in Edgewater, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.