MEDICARE: DR. JAYSON KENNETH MORTON 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	10886	FL

General Provider Information

NPI Number	:	1699101451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAYSON KENNETH MORTON D.C.

Provider Business Mailing Address
First Line	:	2300 PALM BEACH LAKES BLVD
Second Line	:	102
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3303
Country	:	US
Telephone Number	:	651-689-4301
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 PALM BEACH LAKES BLVD
Second Line	:	102
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3303
Country	:	US
Telephone Number	:	651-689-4301
Fax Number	:

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

Provider Enumeration Date	:	09/24/2013
Last Update Date	:	09/24/2013

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