Provider Demographics
NPI:1679467708
Name:MASON, JEFFERY (DC)
Entity type:Individual
Prefix:
First Name:JEFFERY
Middle Name:
Last Name:MASON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JEFFERY
Other - Middle Name:
Other - Last Name:MASON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2477 STICKNEY POINT RD STE 202A
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-6850
Mailing Address - Country:US
Mailing Address - Phone:941-307-7255
Mailing Address - Fax:
Practice Address - Street 1:2477 STICKNEY POINT RD STE 202A
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-6850
Practice Address - Country:US
Practice Address - Phone:941-307-7255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor