| Coastal Health | |
|
2700 Riverside Ave Ste 4 Jacksonville FL 32205-8233 | |
| (904) 265-8232 | |
| Not Available |
| Full Name | Coastal Health |
|---|---|
| Speciality | Physical Therapist |
| Location | 2700 Riverside Ave Ste 4, Jacksonville, Florida |
| Authorized Official Name and Position | Andrew T Christman (CEO) |
| Authorized Official Contact | 9416857688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Health 705 Wells Rd Ste 300 Orange Park FL 32073-2982 Ph: (904) 282-6331 | Coastal Health 2700 Riverside Ave Ste 4 Jacksonville FL 32205-8233 Ph: (904) 265-8232 |
| NPI Number | 1144568262 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 05/30/2025 |
| Certification Date | 05/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144568262 | NPI | - | NPPES |
| 259123500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 208000000X | Pediatrics | () | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | () | Secondary |
| 225100000X | Physical Therapist | () | Primary |
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