MEDICARE: DR. JASON ADAM CLEVELAND 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	CH8176	FL

General Provider Information

NPI Number	:	1518937655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON ADAM CLEVELAND D.C.

Provider Business Mailing Address
First Line	:	6089 BEACONWOOD RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-6801
Country	:	US
Telephone Number	:	561-868-0621
Fax Number	:

Provider Business Practice Location Address
First Line	:	4332 FOREST HILL BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5718
Country	:	US
Telephone Number	:	561-965-2500
Fax Number	:	561-965-0708

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	04/10/2024

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