Provider Demographics
NPI:1528401353
Name:CHERRY, JASON FRANCIS (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:FRANCIS
Last Name:CHERRY
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 1:1301 S HOWARD AVE
Mailing Address - Street 2:APT B7
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3145
Mailing Address - Country:US
Mailing Address - Phone:609-703-8275
Mailing Address - Fax:
Practice Address - Street 1:1301 S HOWARD AVE
Practice Address - Street 2:APT B7
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3145
Practice Address - Country:US
Practice Address - Phone:609-703-8275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00706500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor