MEDICARE: JODY MICHAEL SLONE 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	CH12715	FL
2	111N00000X	Chiropractor	4616	OH

General Provider Information

NPI Number	:	1730533274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODY MICHAEL SLONE D.C.

Provider Business Mailing Address
First Line	:	36157 E LAKE RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-3142
Country	:	US
Telephone Number	:	727-491-2225
Fax Number	:	813-315-6063

Provider Business Practice Location Address
First Line	:	36157 E LAKE RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-3142
Country	:	US
Telephone Number	:	727-491-2225
Fax Number	:	813-315-6063

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

Provider Enumeration Date	:	04/21/2016
Last Update Date	:	11/05/2024

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