MEDICARE: RYAN JAMES GARCIA D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH 10579	FL

General Provider Information

NPI Number	:	1164795142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN JAMES GARCIA D.C.

Provider Business Mailing Address
First Line	:	11964 BOYETTE RD
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33569-5601
Country	:	US
Telephone Number	:	813-540-7270
Fax Number	:	813-671-9045

Provider Business Practice Location Address
First Line	:	11964 BOYETTE RD
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33569-5601
Country	:	US
Telephone Number	:	813-540-7270
Fax Number	:	813-671-9045

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2012
Last Update Date	:	05/13/2026

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