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NPI Code Detail

MEDICARE: DR. JEFFREY THOMAS NOON DC

MEDICARE: DR. JEFFREY THOMAS NOON DC
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
1111NR0400XRehabilitation ChiropractorCH6631FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
122986VOTHERFLMEDICARE PTAN

General Provider Information

NPI Number : 1972733244
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY THOMAS NOON DC
Provider Business Mailing Address
First Line : 730 N NEW WARRINGTON RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-4247
Country : US
Telephone Number : 850-456-4788
Fax Number : 850-456-6066
Provider Business Practice Location Address
First Line : 730 N NEW WARRINGTON RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-4247
Country : US
Telephone Number : 850-456-4788
Fax Number : 850-456-6066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2009
Last Update Date : 11/14/2012

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