MEDICARE: JORDAN TAYLOR DUFRANE DC

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	14410	FL

General Provider Information

NPI Number	:	1295437317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN TAYLOR DUFRANE DC

Provider Business Mailing Address
First Line	:	6505 COLLINS RD APT 724
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-5377
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8110 BLANDING BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-5823
Country	:	US
Telephone Number	:	904-569-6730
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	03/21/2023

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Directions to “ JORDAN TAYLOR DUFRANE DC” Practice Location

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