MEDICARE: DR. JENNIFER BRANDON LLC

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	CH10987	FL

General Provider Information

NPI Number	:	1598193302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. JENNIFER BRANDON LLC

Provider Business Mailing Address
First Line	:	3316 CHIQUITA BLVD S STE 1
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-5111
Country	:	US
Telephone Number	:	239-800-5197
Fax Number	:

Provider Business Practice Location Address
First Line	:	618 SW 3RD ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-1985
Country	:	US
Telephone Number	:	239-329-8987
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED AGENT
Name	:	DR. JENNIFER P BRANDON
Credential	:	DC
Telephone Number	:	239-770-3446

Provider Enumeration Date	:	10/15/2013
Last Update Date	:	04/25/2024

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Directions to “DR. JENNIFER BRANDON LLC ” Practice Location

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