Provider Demographics
NPI:1386054658
Name:THOMAS, JON CLAUDE (DC)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:CLAUDE
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12627 SAN JOSE BLVD
Mailing Address - Street 2:SUITE 501
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-2662
Mailing Address - Country:US
Mailing Address - Phone:904-683-8177
Mailing Address - Fax:904-738-7483
Practice Address - Street 1:12627 SAN JOSE BLVD
Practice Address - Street 2:SUITE 501
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-2662
Practice Address - Country:US
Practice Address - Phone:904-683-8177
Practice Address - Fax:904-738-7483
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-07
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH11201111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor