NPIMap

Organization Active NPI

Wellspring Health - Daytona Beach, LLC

Doing business as Coastal Spine and Injury Center

  • Chiropractor
  • Daytona Beach, FL
National Provider Identifier
1881185494
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11028 Issued in FL
Legal business name
WELLSPRING HEALTH - DAYTONA BEACH, LLC
Doing business as
Coastal Spine and Injury Center
Practice address
755 Westmoreland Rd
Daytona Beach, FL 32114-1626
Phone
(386) 775-6879
Fax
(386) 775-0307
NPI assigned
May 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Veronica Berrios
Title
Clinic Manager
Phone
(386) 775-6879

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH11028 FL Primary
Multi-Specialty Clinic/Center 261QM1300X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

755 Westmoreland Rd
Daytona Beach, FL 32114-1626

Mailing address

2275 N Volusia Ave Ste 100
Orange City, FL 32763-2833
Phone (386) 775-6879

Other names 1

  • Coastal Spine and Injury Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180803002749 FL Part B Supplier - Clinic/Group Practice 1153679360 Receives reassigned benefits from 5 practitioners
Practice locations: Holly Hill, FL

National Provider Directory

National Provider Directory

Locations

755 Westmoreland Rd
Daytona Beach, FL 32114
Phone (386) 226-0011

701 Ridgewood Ave
Holly Hill, FL 32117

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1881185494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 N VOLUSIA AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327632833",
            "telephone_number": "386-775-6879",
            "fax_number": "386-775-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 WESTMORELAND RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141626",
            "telephone_number": "386-775-6879",
            "fax_number": "386-775-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING HEALTH - DAYTONA BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "BERRIOS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "386-775-6879"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11028",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Spine and Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.