Provider Demographics
NPI:1326075441
Name:BERNS, JONATHAN F (DC)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:F
Last Name:BERNS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3842 FLATIRON LOOP
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-7824
Mailing Address - Country:US
Mailing Address - Phone:813-929-3700
Mailing Address - Fax:813-929-3711
Practice Address - Street 1:3842 FLATIRON LOOP
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-7824
Practice Address - Country:US
Practice Address - Phone:813-929-3700
Practice Address - Fax:813-929-3711
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8992111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor