# FRED PATRICK DELLA JACONO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154891026
- **Gender:** Man
- **Credential:** AP,LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 14560 | FL | — |
| 171100000X | Acupuncturist | 4006 | FL | Yes |
| 225700000X | Massage Therapist | 46183 | FL | — |

## Other

- **Enumeration date:** 12/04/2018
- **Last updated:** 01/22/2026