Provider Demographics
NPI:1467521633
Name:ADKINS, JEFFREY DALE (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:DALE
Last Name:ADKINS
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 1:4507 CURRY FORD RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-2710
Mailing Address - Country:US
Mailing Address - Phone:407-273-7181
Mailing Address - Fax:
Practice Address - Street 1:4507 CURRY FORD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-2710
Practice Address - Country:US
Practice Address - Phone:407-273-7181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT56002Medicare UPIN
FL88866Medicare ID - Type Unspecified