Provider Demographics
NPI:1033585823
Name:CLIFTON, JEFFERY KYLE (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:KYLE
Last Name:CLIFTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:201 S RIDGEWOOD AVE
Mailing Address - Street 2:STE 11
Mailing Address - City:EDGEWATER
Mailing Address - State:FL
Mailing Address - Zip Code:32132-1935
Mailing Address - Country:US
Mailing Address - Phone:386-423-7575
Mailing Address - Fax:386-426-8443
Practice Address - Street 1:1402 DUNLAWTON AVE STE 4D
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-2918
Practice Address - Country:US
Practice Address - Phone:386-760-6150
Practice Address - Fax:386-788-1998
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-15
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH11573111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor