Provider Demographics
NPI:1477738102
Name:JEFFREY S HASKEL DC PA
Entity Type:Organization
Organization Name:JEFFREY S HASKEL DC PA
Other - Org Name:CHIROPRACTIC SOLUTIONS OF WINTER PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:HASKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-647-2220
Mailing Address - Street 1:1735 WYCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1931
Mailing Address - Country:US
Mailing Address - Phone:407-896-1986
Mailing Address - Fax:
Practice Address - Street 1:1320 S ORLANDO AVE
Practice Address - Street 2:SUTIE 3
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-5556
Practice Address - Country:US
Practice Address - Phone:407-647-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7530111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty