Provider Demographics
NPI:1730210048
Name:NEFF, JOHN TIMOTHY (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:TIMOTHY
Last Name:NEFF
Suffix:
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 1:215 GULF BREEZE PKWY
Mailing Address - Street 2:STE. B
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32561-4465
Mailing Address - Country:US
Mailing Address - Phone:850-912-8485
Mailing Address - Fax:850-916-7061
Practice Address - Street 1:185 N LAKEMONT AVE
Practice Address - Street 2:STE. B
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3203
Practice Address - Country:US
Practice Address - Phone:407-788-0008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9196111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor