Provider Demographics
NPI:1699101451
Name:MORTON, JAYSON KENNETH (DC)
Entity type:Individual
Prefix:DR
First Name:JAYSON
Middle Name:KENNETH
Last Name:MORTON
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 1:2300 PALM BEACH LAKES BLVD
Mailing Address - Street 2:102
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3303
Mailing Address - Country:US
Mailing Address - Phone:651-689-4301
Mailing Address - Fax:
Practice Address - Street 1:2300 PALM BEACH LAKES BLVD
Practice Address - Street 2:102
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3303
Practice Address - Country:US
Practice Address - Phone:651-689-4301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10886111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor