MEDICARE: DR. JEFFREY B. PITTENGER 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	CH8872	FL

General Provider Information

NPI Number	:	1548475056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY B. PITTENGER D.C.

Provider Business Mailing Address
First Line	:	15502 STONEYBROOK WEST PKWY
Second Line	:	STE 104-304
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-4767
Country	:	US
Telephone Number	:	407-982-7747
Fax Number	:

Provider Business Practice Location Address
First Line	:	16112 MARSH RD
Second Line	:	STE 416
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-9195
Country	:	US
Telephone Number	:	407-982-7747
Fax Number	:

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

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	02/12/2026

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