MEDICARE: SHORES CHIROPRACTIC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1023949138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHORES CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	2424 LISENBY AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-3585
Country	:	US
Telephone Number	:	850-819-8083
Fax Number	:	850-848-6666

Provider Business Practice Location Address
First Line	:	2424 LISENBY AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-3585
Country	:	US
Telephone Number	:	850-819-8083
Fax Number	:	850-848-6666

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JONATHAN SHORES
Credential	:	DC
Telephone Number	:	850-819-8083

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “SHORES CHIROPRACTIC, LLC ” Practice Location

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