COASTAL SPINE AND SPORT OF DAYTONA BEACH
Ambulatory Health at Ridgewood Ave, Daytona Beach, FL

License number
Florida CH9679
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. CHRIS LEE WOJCIK DC
Title: MANAGING MEMBER
Phone: (407) 496-7998
Address
Address
912 S Ridgewood Ave STE. D, Daytona Beach, FL 32114
National Provider ID: 1346679610
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Coastal Spine and Sport of Daytona Beach L.L.C

912 S Ridgewood Ave, Daytona Beach, FL 32114

Industry:
Ret Sporting Goods/Bicycles
Registration:
Oct 18, 2013
State ID:
L13000147068
Business type:
Florida Limited Liability
Managing Members:
Michael A. Osborne (Managing Member),Chris Wojcik (Managing Member)

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