Healthcare Provider Details

I. General information

NPI: 1720859333
Provider Name (Legal Business Name): NEIL BARRON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 ROBERTS VILLAGE CT STE 1502
FRUIT COVE FL
32259-9584
US

IV. Provider business mailing address

153 ROBERTS VILLAGE CT STE 1502
FRUIT COVE FL
32259-9584
US

V. Phone/Fax

Practice location:
  • Phone: 904-217-0021
  • Fax:
Mailing address:
  • Phone: 904-217-0021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH14889
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: