MEDICARE: DR. JON CLAUDE THOMAS D.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH11201	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386054658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JON CLAUDE THOMAS D.C

Provider Business Mailing Address
First Line	:	11798 SAN JOSE BLVD STE 2
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32223-1836
Country	:	US
Telephone Number	:	904-683-8177
Fax Number	:	904-738-7483

Provider Business Practice Location Address
First Line	:	12627 SAN JOSE BLVD
Second Line	:	SUITE 501
City	:	JACKSONVILLE
State	:	FL
Zip	:	32223-2662
Country	:	US
Telephone Number	:	904-683-8177
Fax Number	:	904-738-7483

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2014
Last Update Date	:	08/19/2025

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