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

Organization subpart

No

Name

Timothy Martin Steflik

Title

Owner

Phone

(386) 427-8403

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 5, 2021.

{
    "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
• 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

• All providers in Edgewater, FL
• 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.