| Coastal Chiropractic Tampa Bay Llc | |
|
2194 Main St Ste G, Dunedin, FL 34698-5656 | |
| (352) 650-3756 | |
| Not Available |
| Full Name | Coastal Chiropractic Tampa Bay Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2194 Main St Ste G, Dunedin, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518319821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH6488 (Florida) | Primary |
| Provider Name | Drew D Kycynka |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629178827 PECOS PAC ID: 6103834619 Enrollment ID: I20060324000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Chiropractic Tampa Bay Llc 2194 Main St Ste G, Dunedin, FL 34698-5656 Ph: (727) 733-1601 | Coastal Chiropractic Tampa Bay Llc 2194 Main St Ste G, Dunedin, FL 34698-5656 Ph: (352) 650-3756 |
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