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NPI Code Detail

MEDICARE: JENNIFER M. SMITH D.C.

MEDICARE: JENNIFER M. SMITH 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
1111N00000XChiropractorCH7162FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518017383
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER M. SMITH D.C.
Provider Business Mailing Address
First Line : 530 S PINE MEADOW DR
Second Line :
City : DEBARY
State : FL
Zip : 32713-2618
Country : US
Telephone Number : 407-230-7380
Fax Number : 386-775-3602
Provider Business Practice Location Address
First Line : 1051 TOWN CENTER DR
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8360
Country : US
Telephone Number : 386-775-3600
Fax Number : 386-775-3602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 12/03/2025

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