Coquina Sport & Spine, LLC
NPI 1720659154ActiveOrganization· Chiropractor· St Augustine, FL
Chiropractor in St Augustine, Florida, registered in NPPES in July 2021. The authorized official on file is Kristin Wimp, DC, ATC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720659154 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2021 |
| Last updated in NPPES | Dec 14, 2023 |
| Certified by provider | Dec 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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