| Coastal Integrative Healthcare Inc | |
|
315 N Ridgewood Ave, Edgewater, FL 32132-1617 | |
| (386) 427-8403 | |
| Not Available |
| Full Name | Coastal Integrative Healthcare Inc |
|---|---|
| Type | Facility |
| Speciality | Nurse Practitioner |
| Location | 315 N Ridgewood Ave, Edgewater, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093126203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Timothy Martin Steflik |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285919456 PECOS PAC ID: 9133394976 Enrollment ID: I20111207000058 |
| Provider Name | Tiffany L Thornton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912349903 PECOS PAC ID: 8224257035 Enrollment ID: I20140909002708 |
| Provider Name | Crist L Francisco |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821461229 PECOS PAC ID: 0345548624 Enrollment ID: I20160420000870 |
| Provider Name | Samantha R Wunder |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922559889 PECOS PAC ID: 3375827660 Enrollment ID: I20170306001355 |
| Provider Name | Tara L Swanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982147963 PECOS PAC ID: 1759658735 Enrollment ID: I20170523000438 |
| Provider Name | William G Salter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760900070 PECOS PAC ID: 3678849080 Enrollment ID: I20171030000851 |
| Provider Name | Jessica Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225516461 PECOS PAC ID: 6406191139 Enrollment ID: I20181227000446 |
| Provider Name | Charles Alan Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801317219 PECOS PAC ID: 1759708746 Enrollment ID: I20200908000728 |
| Provider Name | Michael Vincent Dibella |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134628035 PECOS PAC ID: 2668874603 Enrollment ID: I20210713002043 |
| Provider Name | Carly Nicole Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871239723 PECOS PAC ID: 9830572635 Enrollment ID: I20220811001079 |
| Provider Name | Brittany Nikolow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154837789 PECOS PAC ID: 6305291089 Enrollment ID: I20231016002516 |
| Provider Name | Aspen Elizabeth Coggins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902564479 PECOS PAC ID: 6709233307 Enrollment ID: I20231102003886 |
| Provider Name | Alexa Rose Caron |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740032531 PECOS PAC ID: 5597296814 Enrollment ID: I20240926004563 |
| Provider Name | Omar F Abderhman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215616149 PECOS PAC ID: 6406383587 Enrollment ID: I20241231003152 |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Integrative Healthcare Inc 315 N Ridgewood Ave, Edgewater, FL 32132-1617 Ph: (386) 427-8403 | Coastal Integrative Healthcare Inc 315 N Ridgewood Ave, Edgewater, FL 32132-1617 Ph: (386) 427-8403 |