Provider Demographics
NPI:1265184881
Name:ALBERSWORTH, SETH JORDON (DC)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:JORDON
Last Name:ALBERSWORTH
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 1:4951 ORANGE BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-5475
Mailing Address - Country:US
Mailing Address - Phone:386-847-6904
Mailing Address - Fax:
Practice Address - Street 1:1734 STATE AVE
Practice Address - Street 2:
Practice Address - City:HOLLY HILL
Practice Address - State:FL
Practice Address - Zip Code:32117-1748
Practice Address - Country:US
Practice Address - Phone:386-847-6904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13903111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor