Healthcare Provider Details

I. General information

NPI: 1205478567
Provider Name (Legal Business Name): JENNA LYNN AKHTENBERG DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2019
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

698 NE 1ST AVE APT 2702
MIAMI FL
33132-1826
US

IV. Provider business mailing address

698 NE 1ST AVE APT 2702
MIAMI FL
33132-1826
US

V. Phone/Fax

Practice location:
  • Phone: 786-530-5220
  • Fax: 786-706-6518
Mailing address:
  • Phone: 786-530-5220
  • Fax: 786-706-6518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH14681
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number013296
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: