Individual provider · NPI-1

Dr. Jordan Axe, D.C.

Chiropractor · Lakeland, FL

NPI number1194116368
StatusActive
Last updated in NPPESFeb 10, 2015

Details

NPI
1194116368
Entity type
Individual (NPI-1)
Name
Dr. Jordan Axe
Credential
D.C.
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 10, 2015
Last updated
Feb 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractorch11262FLYes

Practice location

6595 S Florida Ave
Lakeland, FL 33813-3316

Phone 863-940-3444

Mailing address

6595 S Florida Ave
Lakeland, FL 33813-3316

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