Healthcare Provider Details

I. General information

NPI: 1366574667
Provider Name (Legal Business Name): DRJASENMED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4332 FOREST HILL BLVD
WEST PALM BEACH FL
33406-5718
US

IV. Provider business mailing address

4332 FOREST HILL BLVD
WEST PALM BEACH FL
33406-5718
US

V. Phone/Fax

Practice location:
  • Phone: 561-965-2500
  • Fax: 561-965-0708
Mailing address:
  • Phone: 561-965-2500
  • Fax: 561-965-0708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8176
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. JASON ADAM CLEVELAND
Title or Position: OWNER
Credential: D.C.
Phone: 561-965-2500