Active NPI
Coastal Healthcare Jax Inc
- Physical Medicine & Rehabilitation Physician
- Tallahassee, FL
National Provider Identifier
1699643718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- COASTAL HEALTHCARE JAX INC
- Practice address
- 102 Dixie Dr
Tallahassee, FL 32304-3019 - Phone
- (850) 328-4050
- NPI assigned
- Oct 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Steflik
- Title
- Owner
- Phone
- (801) 735-8857
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
102 Dixie Dr
Tallahassee, FL 32304-3019
Mailing address
315 N Ridgewood Ave
Edgewater, FL 32132-1617
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Edgewater, FL
- NPI 1285919456
-
- Massage Therapist
- Tallahassee, FL
- NPI 1952255002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1699643718",
"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": "102 DIXIE DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323043019",
"telephone_number": "850-328-4050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL HEALTHCARE JAX INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-29",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "STEFLIK",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-735-8857"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.