Individual provider · NPI-1

Dr. Jalen Banks

Chiropractor · Lakeland, FL

NPI number1114533254
StatusActive
Last updated in NPPESMar 14, 2022

Details

NPI
1114533254
Entity type
Individual (NPI-1)
Name
Dr. Jalen Banks
Sex
Male
Sole proprietor
No
Enumeration date
Sep 22, 2020
Certification date
Mar 14, 2022
Last updated
Mar 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor13229FLYes

Practice location

2190 E County Road 540a
Lakeland, FL 33813-3740

Phone 863-680-7700 · Fax 866-264-8519

Mailing address

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065

Phone 863-680-7000 · Fax 866-264-8519

Other practice locations

8794 W Boynton Beach Blvd Ste 216
Boynton Beach, FL 33472-4469

Phone 561-364-4111

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