Provider Demographics
NPI:1447309695
Name:MILNER, JAYSON (DC)
Entity type:Individual
Prefix:MR
First Name:JAYSON
Middle Name:
Last Name:MILNER
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 1:2825 N STATE ROAD 7 STE 203
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5737
Mailing Address - Country:US
Mailing Address - Phone:954-500-9355
Mailing Address - Fax:954-809-3011
Practice Address - Street 1:2825 N STATE ROAD 7 STE 203
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5737
Practice Address - Country:US
Practice Address - Phone:954-500-9355
Practice Address - Fax:954-809-3011
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9292111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor