Provider Demographics
NPI:1770808040
Name:GETBEHEAD, JEFFREY P (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:P
Last Name:GETBEHEAD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7668 S.W. 60TH AVENUE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-6404
Mailing Address - Country:US
Mailing Address - Phone:352-351-2872
Mailing Address - Fax:352-351-0003
Practice Address - Street 1:300 NW 70TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2384
Practice Address - Country:US
Practice Address - Phone:954-581-1999
Practice Address - Fax:954-581-3970
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH9951111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2206QOtherBCBS
FLDN380ZMedicare PIN