Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deric L Jacobs, DC

Individual provider Chiropractor · NPI 1568679876

Deric L Jacobs, DC is a Chiropractic in Port Orange, Florida. Graduated from Palmer College Chiropractic - Davenport in 1997, 29 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
29
Trained at
Palmer College Chiropractic - Davenport
Licensed in
FL
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4536 S Clyde Morris Blvd Ste 3
Port Orange, FL 32129-4017
Phone: (386) 562-4099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH8698 (FL)

Record details

NPI number1568679876
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESJanuary 14, 2010
Mailing address3625 Scott St, Port Orange, FL 32129-4225

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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