Provider Demographics
NPI:1033624333
Name:YOUR HEALTH FIRST LLC
Entity Type:Organization
Organization Name:YOUR HEALTH FIRST LLC
Other - Org Name:KAUFFMAN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-702-1480
Mailing Address - Street 1:3830 SAXON DR
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32169-3868
Mailing Address - Country:US
Mailing Address - Phone:941-702-1480
Mailing Address - Fax:
Practice Address - Street 1:6160 STATE ROAD 70 E STE 106
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-9715
Practice Address - Country:US
Practice Address - Phone:941-702-1480
Practice Address - Fax:941-702-1480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty