Healthsource Of Destin

LBN: Rjg Coastal Chiropractic P.A.
Healthsource Of Destin is an health care organization with primary practice located at 35008 Emerald Coast Pkwy Ste 202, Destin FL 32541-4754. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Rjg Coastal Chiropractic P.A. can be contacted via phone (850) 654-6912, or through Garcia, Ryan J via phone (850) 654-6912.

Contact Information

Primary practice address
35008 Emerald Coast Pkwy Ste 202 Destin FL 32541-4754
Phone: (850) 654-6912
Fax: (850) 654-9459
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Ryan J Doctor of Chiropractic (DC)
Phone: (850) 654-6912

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH 10579 Florida

Profile Details

NPI number 1164776514
LBN Legal business name Rjg Coastal Chiropractic P.A.
DBA Doing business as Healthsource Of Destin
Authorized official Garcia, Ryan J Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2012
Last updated Feb 12th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164776514 NPPES
Florida Other GM 188Z MEDICARE PTAN
Florida Other 3632568 MEDICARE PTAN

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