Healthcare Provider Details

I. General information

NPI: 1801473780
Provider Name (Legal Business Name): JMD CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 03/26/2021
Certification Date: 03/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5663 NW 29TH ST
MARGATE FL
33063-1531
US

IV. Provider business mailing address

7999 NW 82ND TER
PARKLAND FL
33067-1036
US

V. Phone/Fax

Practice location:
  • Phone: 754-290-0476
  • Fax:
Mailing address:
  • Phone: 954-579-0775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JILLIAN DUQUETTE
Title or Position: OWNER
Credential: DC
Phone: 954-579-0775