Provider Demographics
NPI:1053806109
Name:JSG CHIROPRACTIC, P.A.
Entity type:Organization
Organization Name:JSG CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:GARONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-732-5611
Mailing Address - Street 1:8198 S JOG RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-2998
Mailing Address - Country:US
Mailing Address - Phone:561-732-5611
Mailing Address - Fax:561-734-0712
Practice Address - Street 1:8198 S JOG RD STE 100
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-2998
Practice Address - Country:US
Practice Address - Phone:561-732-5611
Practice Address - Fax:561-734-0712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty