Healthcare Provider Details

I. General information

NPI: 1205996378
Provider Name (Legal Business Name): JADE S BESSETTE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 N FEDERAL HWY STE 5&6
BOCA RATON FL
33487-3200
US

IV. Provider business mailing address

3715 VILLAGE DR APT C
DELRAY BEACH FL
33445-2911
US

V. Phone/Fax

Practice location:
  • Phone: 561-409-4701
  • Fax:
Mailing address:
  • Phone: 561-498-4300
  • Fax: 561-498-4539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9239
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: