Provider Demographics
NPI:1437118585
Name:PRICE, JEFFRE OGILVIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFRE
Middle Name:OGILVIE
Last Name:PRICE
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 1:13355 TAMIAMI TRL UNIT E
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-2186
Mailing Address - Country:US
Mailing Address - Phone:941-426-1235
Mailing Address - Fax:941-426-4464
Practice Address - Street 1:13355 S TAMIAMI TRAIL
Practice Address - Street 2:UNIT E
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287
Practice Address - Country:US
Practice Address - Phone:941-426-1235
Practice Address - Fax:941-426-4464
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-18
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7098111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U63084Medicare UPIN
55395Medicare ID - Type Unspecified