| Coastline Spine Chiropractic & Rehab, Pllc | |
|
101 Orange St, St Augustine, FL 32084-3564 | |
| (904) 599-7791 | |
| Not Available |
| Full Name | Coastline Spine Chiropractic & Rehab, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 101 Orange St, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750058889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | William Levi Beasley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548723273 PECOS PAC ID: 3678807872 Enrollment ID: I20190621001247 |
| Mailing Address | Practice Location Address |
|---|---|
| Coastline Spine Chiropractic & Rehab, Pllc 101 Orange St, St Augustine, FL 32084-3564 Ph: (904) 599-7791 | Coastline Spine Chiropractic & Rehab, Pllc 101 Orange St, St Augustine, FL 32084-3564 Ph: (904) 599-7791 |
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