# COASTAL CHIROPRACTIC PALM HARBOR LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679879282
- **Authorized official:** DR. DREW KYCYNKA DC (MGRM)
- **Authorized official phone:** (352) 799-7753

## Contact information

- **Practice address:** 3091 ANDERSON SNOW RD, SPRING HILL, FL 34609-5202
- **Practice address phone:** (352) 799-7753
- **Mailing address:** 3091 ANDERSON SNOW RD, SPRING HILL, FL 34609-5202
- **Mailing address phone:** (352) 799-7753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | CH6488 | FL | Yes |

## Other

- **Enumeration date:** 01/28/2011
- **Last updated:** 01/28/2011