Provider Demographics
NPI:1578765657
Name:LAUFFER, JEFFREY (DC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:LAUFFER
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 1:795 CRESTVIEW CIR NW
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-2126
Mailing Address - Country:US
Mailing Address - Phone:941-629-8444
Mailing Address - Fax:941-629-8444
Practice Address - Street 1:795 CRESTVIEW CIR NW
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-2126
Practice Address - Country:US
Practice Address - Phone:941-629-8444
Practice Address - Fax:941-629-8444
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8503111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor