Provider Demographics
NPI:1225264500
Name:JAKIEL, JODI LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:LYNN
Last Name:JAKIEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8257 NARCOOSSEE PARK DR
Mailing Address - Street 2:SUITE 516
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-5545
Mailing Address - Country:US
Mailing Address - Phone:407-384-4904
Mailing Address - Fax:888-744-7203
Practice Address - Street 1:8257 NARCOOSSEE PARK DR
Practice Address - Street 2:SUITE 516
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-5545
Practice Address - Country:US
Practice Address - Phone:407-384-4904
Practice Address - Fax:407-744-7203
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9702111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2201FOtherBCBS