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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERIC L JACOBS, DC

Active Sole Proprietor

DERIC L JACOBS, DC is a Chiropractor healthcare provider located in PORT ORANGE, Florida. NPI 1568679876 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · PORT ORANGE, FL

Registration Details

NPI Number
1568679876
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2007 (19.229395174449 yrs)
Last Updated
Jan 14, 2010
License
CH8698 (FL)
Sole Proprietor
Yes

Practice Information

Address
4536 S. CLYDE MORRIS BLVD.
SUITE 3
PORT ORANGE, FL, 321294017
Browse FL providers · Browse ZIP 32129
Phone
3865624099
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in PORT ORANGE, FL

Name Credential NPI
MINDY A WEINGARTEN D. C. 1164426581
CHRISTOPHER M VARNUM DC 1760459200
DR. MICHAEL SHANE CARTER D.C., M.B.A. 1790717775
RUSSELL SHANNON HUMPHRIES DC 1497769210
MICHAEL W SHREEVE DC 1063427771
CARL HENRY BENNETT DC 1356452254
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.