DR. JEFFREY MICHAEL PECK (NPI# 1922014075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922014075 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MICHAEL PECK |
| Credential | D.C. |
| Practice Address |
3020 Lee Blvd Suite 11 Lehigh Acres FL 33971-2438 |
| Mailing Address |
Po Box 506 Lehigh Acres FL 33970 |
| Practice Telephone | 2393699109 |
| Practice Fax Number | 2393694762 |
| Mailing Telephone | 2393699109 |
| Mailing Fax Number | 2393694762 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH0006739 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 380583200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952499634 | Jeffrey Allan Peck | Dentist | 2604 Genesee St, Utica, NY 13502-6003 | 2006-10-10 |
| 1679835219 | Jeffrey Peck | Orthopaedic Surgery | 2222 Welborn St, Dallas, TX 75219-3924 | 2012-06-11 |
| Street Address |
3020 LEE BLVD SUITE 11 |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33971-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720284730 | Florida Eye Health | Ophthalmology | 3020 Lee Blvd, Suite #12, Lehigh Acres, FL 33971-1462 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248096 | Katie L Kozlowski | Behavior Technician | 5220 Lee Boulevard, Bldg 6, Lehigh Acres, FL 33971 | 2020-08-31 |
| 1548821481 | Rosario Assisted Living Facility, Inc | Assisted Living Facility | 2616 22nd St W, Lehigh Acres, FL 33971 | 2019-06-21 |
| 1790340362 | Delia Hernandez | Behavior Technician | 2519 39th Street West, Lehigh Acres, FL 33971 | 2019-05-08 |
| 1669981122 | Ana Claudia Dormann | Specialist/Technologist | 5598 8th St West, Unit 3, Lehigh Acres, FL 33971 | 2017-09-27 |
| 1871803551 | The Joan of Arc Corporation | Day Training, Developmentally Disabled Services | 2618 44th Street West, Lehigh Acres, FL 33971 | 2010-10-15 |
| 1396970737 | Total Renal Care Inc | Clinic/Center | 5705 Lee Blvd Ste 16, Lehigh Acres, FL 33971 | 2009-05-28 |
| 1700039658 | Friendly Group Home Inc. | Day Training, Developmentally Disabled Services | 2602 50th Street West, Lehigh Acres, FL 33971 | 2008-10-23 |
| 1336266485 | Marjorie St.germain | Social Worker | 3709 9th Street Sw, Lehigh Acres, FL 33971 | 2007-03-23 |
| 1194841767 | Stanley Paul Blair | Dentist | 3003 Lee Blvd, Lehigh Acres, FL 33971 | 2007-03-22 |
| 1770652711 | Alan E Spinner | Chiropractor | 2718 Lee Boulevard, Suite C, Lehigh Acres, FL 33971 | 2006-11-06 |
| Find all providers in zip 33971 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710307244 | Peak Performance Chiropractic | Chiropractor | 5705 Lee Blvd, Ste 9, Lehigh Acres, FL 33971-6342 | 2014-04-23 |
| 1568582914 | Sean Sellars | Chiropractor | 3020 Lee Blvd Ste 11, Lehigh Acres, FL 33971-2438 | 2007-03-30 |
| 1356489686 | Robert Franklin Wensch | Chiropractor | 4669 Varsity Cir, Lehigh Acres, FL 33971-2064 | 2007-02-01 |
| 1770652711 | Alan E Spinner | Chiropractor | 2718 Lee Boulevard, Suite C, Lehigh Acres, FL 33971 | 2006-11-06 |
| 1811915002 | Catalina Torres | Chiropractor | 5624 8th St W, Suite 111, Lehigh Acres, FL 33971-6304 | 2006-07-17 |
| 1386696771 | Monique Melanie Wensch | Chiropractor | 1169 Homestead Rd N, Lehigh Acres, FL 33936-6040 | 2006-05-16 |
| 1942277371 | David C. Anthony | Chiropractor | 124 Lee Blvd, Lehigh Acres, FL 33936-6120 | 2006-03-03 |
| 1528603388 | Mariangely Rivera | Chiropractor | 3020 Lee Blvd Ste 11, Lehigh Acres, FL 33971-2438 | 2019-11-15 |
| 1255988929 | Lehigh Personal Injury Clinic LLC | Chiropractor | 60 Westminster St N, Lehigh Acres, FL 33936-6518 | 2019-08-19 |
| 1669741641 | Dr. David C. Anthony, D.c.p.a. | Chiropractor | 124 Lee Blvd, Lehigh Acres, FL 33936-6120 | 2011-12-21 |
| Find all providers in LEHIGH ACRES | ||||
| City | LEHIGH ACRES |
| Zip Code | 33971 |
Please comment or provide details below to improve the information on DR. JEFFREY MICHAEL PECK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.