Coastal Spine and Sport of Daytona Beach

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH9679 Issued in FL

Legal business name

COASTAL SPINE AND SPORT OF DAYTONA BEACH

Practice address

912 S Ridgewood Ave
Ste. D
Daytona Beach, FL 32114-5349

Phone

(407) 496-7998

NPI assigned

Nov 6, 2013

Last updated

Nov 6, 2013By 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

Dr. Chris Lee Wojcik, DC

Title

Managing Member

Phone

(407) 496-7998

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1346679610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S RIDGEWOOD AVE",
            "address_2": "STE. D",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S RIDGEWOOD AVE",
            "address_2": "STE. D",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145349",
            "telephone_number": "407-496-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SPINE AND SPORT OF DAYTONA BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "WOJCIK",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-496-7998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH9679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coaching Behavioral Alternatives Inc
• Jennifer Ann Coady, M.D.
• Coast Florida P.a. (Coast Dental-Daytona)
• Coastal Center Operations LLC
• Coastal Mental Health Center Inc
• Mary Ann Frances Coatoam, PA-C
• David Michael Coe, MD
• Janel Irene Coffing, ARNP
• Brenda Martin Cohen, ARNP
• Ethan Nathaniel Cohen, M.D.

• Clinic/Center in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.