MEDICARE: JEFFREY RODRIGUEZ PRUNET D.C.

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	15228	FL

General Provider Information

NPI Number	:	1487474656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY RODRIGUEZ PRUNET D.C.

Provider Business Mailing Address
First Line	:	4744 WALDEN CIR APT 931
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-7160
Country	:	US
Telephone Number	:	787-590-4025
Fax Number	:

Provider Business Practice Location Address
First Line	:	4744 WALDEN CIR APT 931
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-7160
Country	:	US
Telephone Number	:	787-590-4025
Fax Number	:

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

Provider Enumeration Date	:	10/14/2024
Last Update Date	:	06/01/2026

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