Jesse Lee Angle II D.C., PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11021 Issued in FL

Legal business name

JESSE LEE ANGLE II D.C., PA

Practice address

871 Donald Ross Rd
Juno Beach, FL 33408-1606

Phone

(561) 632-0871

NPI assigned

Jan 21, 2014

Last updated

Jan 21, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jesse Lee Angle II, D.C.NPI 1982933412

Title

President

Phone

(561) 632-0871

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse Lee Angle II, DC

  • Chiropractor
  • Fort Myers, FL
  • NPI 1982933412
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1669894085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 DONALD ROSS RD",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081606",
            "telephone_number": "561-632-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 DONALD ROSS RD",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081606",
            "telephone_number": "561-632-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE LEE ANGLE II D.C., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "ANGLE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-632-0871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holiday CVS LLC (CVS Pharmacy 05109)
• Stephen R Honaker, LMHC
• Rachael Houston
• Bridiget L Jackson-Gross, MASSAGE THERAPIST
• Mikyo Jeong, NP
• Sean Johnson, DC
• Juno Beach Family Chiropractic, Inc.
• Juno Counseling Center
• Juno Doctors Group, LLC
• Juno Medical, Inc.

• Chiropractor in Juno Beach, FL
• Providers in Juno Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.