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Organization
JODI JAKIEL, LLC
Active
Organization
JODI JAKIEL, LLC
Active
Other names
Active Living Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODI LYNN JAKIEL DC (OWNER)
(407) 384-4904
Entity
Organization
Contact information
Practice address
8257 NARCOOSSEE PARK DR, SUITE 516, ORLANDO, FL 32822-5545
(407) 384-4904
(888) 744-7203
Mailing address
8257 NARCOOSSEE PARK DR, SUITE 516, ORLANDO, FL 32822-5545
(407) 384-4904
(888) 744-7203
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9702
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2201F
BLUE CROSS
FL
Enumeration date
02/05/2010
Last updated
03/19/2012
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