| Coastal City Chiropractic Center Llc | |
|
4550 Clyde Morris Blvd Ste D, Port Orange, FL 32129-4080 | |
| (941) 504-2257 | |
| Not Available |
| Full Name | Coastal City Chiropractic Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4550 Clyde Morris Blvd Ste D, Port Orange, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871069732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jennifer Chelsie Demaio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639654387 PECOS PAC ID: 2668711623 Enrollment ID: I20190308001834 |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal City Chiropractic Center Llc 3939 S Atlantic Ave Apt A, Port Orange, FL 32127-6521 Ph: (941) 504-2257 | Coastal City Chiropractic Center Llc 4550 Clyde Morris Blvd Ste D, Port Orange, FL 32129-4080 Ph: (941) 504-2257 |
Ms. Erica Elizabeth Adams, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4904 Clyde Morris Blvd Ste A, Port Orange, FL 32129 Phone: 386-307-8207 | |
Dr. Carl Francesco Stephens, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4705 S Clyde Morris Blvd, Port Orange, FL 32129 Phone: 386-763-2768 | |
Dr. Kyna Renee Sanchez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 803 Banbury Dr, Port Orange, FL 32129 Phone: 315-593-4655 | |
Garrett Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1409 Royal Grove Ln, Port Orange, FL 32129 Phone: 386-795-8700 | |
Dr. Jeffery Kyle Clifton, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1402 Dunlawton Ave Ste 4d, Port Orange, FL 32127 Phone: 386-760-6150 Fax: 386-788-1998 | |
Gabriel Jacob Garrison, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1103 Nature View Cir, Port Orange, FL 32128 Phone: 854-812-5273 | |
Dr. Rosemary Valero, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 429 Champagne Circle, Port Orange, FL 32127 Phone: 386-846-4695 |