MEDICARE: JACKSONVILLE CHIROPRACTIC CENTER INC.

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	:	1689860744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACKSONVILLE CHIROPRACTIC CENTER INC.

Provider Business Mailing Address
First Line	:	773 S KIRKMAN RD
Second Line	:	SUITE 120
City	:	ORLANDO
State	:	FL
Zip	:	32811-2013
Country	:	US
Telephone Number	:	407-298-7880
Fax Number	:	407-298-7882

Provider Business Practice Location Address
First Line	:	773 S KIRKMAN RD
Second Line	:	SUITE 120
City	:	ORLANDO
State	:	FL
Zip	:	32811-2013
Country	:	US
Telephone Number	:	407-298-7880
Fax Number	:	407-298-7882

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. FRITZ SIEDE
Credential	:
Telephone Number	:	321-662-4347

Provider Enumeration Date	:	09/21/2007
Last Update Date	:	09/21/2007

Similar Medicare Providers

1356631410 — DAVID LAMONT TAYLOR LMHC
Practice Location Address:

773 S KIRKMAN RD , 112
ORLANDO, FL
32811-2013

Practice Phone: 765-215-4825
Practice Fax:

1639661275 — MRS. TARA DANIELLE POSTON FNP
Practice Location Address:

1305 KUHL AVE STE 200
ORLANDO, FL
32806-2013

Practice Phone: 321-842-2273
Practice Fax:

1598980690 — TCORP INC
Practice Location Address:

2013 E JEFFERSON STREET
ORLANDO, FL
32803

Practice Phone: 321-206-6308
Practice Fax: 407-574-5715

1134330335 — AMY M SAILER L.M.T.
Practice Location Address:

6500 TANGLEWOOD BAY DR APT 2013
ORLANDO, FL
32821-7352

Practice Phone: 407-415-8648
Practice Fax:

1992097976 — JESSICA SHIRLEY MARDER
Practice Location Address:

4887 NEW BROAD ST , APT 2013
ORLANDO, FL
32814-6645

Practice Phone: 727-735-3586
Practice Fax:

1154701860 — MITALI N AGARWAL MD
Practice Location Address:

1305 KUHL AVE STE 310
ORLANDO, FL
32806-2013

Practice Phone: 321-842-9000
Practice Fax: 321-843-6326

Directions to “JACKSONVILLE CHIROPRACTIC CENTER INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.