MEDICARE: NEPTUNE MEDICAL GROUP

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	:	1548195829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEPTUNE MEDICAL GROUP

Provider Business Mailing Address
First Line	:	1660 W AIRPORT BLVD
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32773-4444
Country	:	US
Telephone Number	:	407-608-0057
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 W AIRPORT BLVD
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32773-4444
Country	:	US
Telephone Number	:	407-608-0057
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOLENE DIANE PATTERSON
Credential	:	DC
Telephone Number	:	248-701-5781

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “NEPTUNE MEDICAL GROUP ” Practice Location

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