Provider Demographics
NPI:1356550875
Name:LAYTON, PATRICK D JR (DC)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:D
Last Name:LAYTON
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 202
Mailing Address - Street 2:
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34146-0202
Mailing Address - Country:US
Mailing Address - Phone:239-777-5553
Mailing Address - Fax:
Practice Address - Street 1:3893 MANNIX DR
Practice Address - Street 2:# 517
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-5416
Practice Address - Country:US
Practice Address - Phone:239-777-5553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor