Provider Demographics
NPI:1487951935
Name:VLEKO, JONATHAN ADAM (DC)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:ADAM
Last Name:VLEKO
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 1:2921-A VINELAND RD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-5594
Mailing Address - Country:US
Mailing Address - Phone:407-507-3837
Mailing Address - Fax:407-507-3841
Practice Address - Street 1:2921-A VINELAND RD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-5594
Practice Address - Country:US
Practice Address - Phone:407-507-3837
Practice Address - Fax:407-507-3841
Is Sole Proprietor?:No
Enumeration Date:2011-02-18
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10203111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor