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Organization
RJG COASTAL CHIROPRACTIC P.A.
Active
Organization
RJG COASTAL CHIROPRACTIC P.A.
Active
Other names
Healthsource of Destin
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN JAMES GARCIA DC (PRESIDENT)
(813) 540-7270
Entity
Organization
Contact information
Practice address
11964 BOYETTE RD, RIVERVIEW, FL 33569-5601
(813) 540-7270
(813) 671-9045
Mailing address
11964 BOYETTE RD, RIVERVIEW, FL 33569-5601
(813) 540-7270
(813) 671-9045
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 10579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3632568
CIGNA
—
01
—
GM 188Z
MEDICARE PTAN
FL
Enumeration date
11/07/2012
Last updated
06/04/2026
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