Provider Demographics
NPI:1730214446
Name:MIDDLETON, JEFFREY ALLEN (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ALLEN
Last Name:MIDDLETON
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 1:661 SW 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-8384
Mailing Address - Country:US
Mailing Address - Phone:954-771-3685
Mailing Address - Fax:954-771-8825
Practice Address - Street 1:661 SW 3RD AVE
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-8384
Practice Address - Country:US
Practice Address - Phone:954-771-3685
Practice Address - Fax:954-771-3685
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6493111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist