Jeffrey O. Anderson, D.C
Individual provider Active NPI Chiropractor · Pembroke Pines, FL
NPI 1902136203 · NPPES record last updated Apr 19, 2021
Key facts
- NPI
- 1902136203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH10417 (FL)
- Practice address
- 10031 Pines Blvd Ste 222
Pembroke Pines, FL 33024-6169 - Phone
- (941) 402-8210
- NPI assigned
- Jan 8, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1297 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chirocare of the Suncoast, LLC | Chiropractor | Current |
Accepting new patients |
Locations
9015 Town Center Pkwy
Unit 135
Lakewood Ranch, FL 34202
Phone (941) 263-8058
10031 Pines Blvd
Ste 222
Pembroke Pines, FL 33024
Phone (941) 402-8210
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10417 | FL | Yes |
Addresses
Primary practice location
10031 Pines Blvd Ste 222
Pembroke Pines, FL 33024-6169
Mailing address
9015 Town Center Pkwy Unit 135
Lakewood Ranch, FL 34202-5308
Phone (941) 402-8210
Other practice location 1
9015 Town Center Pkwy Unit 135
Lakewood Ranch, FL 34202-5308
Phone (941) 402-8210
Other providers in Pembroke Pines, FL
- Anchor Medical & Mental Health Center LLC
- David R Ancona
- Aida L Anders
- Danielle Marie Anderson
- Debra Anderson
- Ashley Viviana Andino
- Michele Andollo
- Kelly Stephanie Andrade
- Emmanuel Andral
- Eduardo Andre
All providers in Pembroke Pines, FL · Chiropractor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.