Healthcare Provider Details

I. General information

NPI: 1891265534
Provider Name (Legal Business Name): AUSTIN DAVID JONES DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2018
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4834 AMASA CIR
WEST MELBOURNE FL
32904-1204
US

IV. Provider business mailing address

4834 AMASA CIR
WEST MELBOURNE FL
32904-1204
US

V. Phone/Fax

Practice location:
  • Phone: 314-221-6040
  • Fax:
Mailing address:
  • Phone: 314-221-6040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number13816
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number13816
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: