Organization
COASTAL CHIROPRACTIC AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD F STACEY II D.C. (OWNER DOCTOR)
(727) 842-2111
Entity
Organization
Contact information
Practice address
5901 US HIGHWAY 19, SUITE 10, NEW PORT RICHEY, FL 34652-2960
(727) 842-2111
(727) 842-2118
Mailing address
5901 US HIGHWAY 19, SUITE 10, NEW PORT RICHEY, FL 34652-2960
(727) 842-2111
(727) 842-2118
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9214
FL
Other
Enumeration date
06/02/2007
Last updated
10/10/2007
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