Provider Demographics
NPI:1518851856
Name:GOW, JERAMIE (DC)
Entity type:Individual
Prefix:
First Name:JERAMIE
Middle Name:
Last Name:GOW
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 1:1175 STILLWOOD CT
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-3600
Mailing Address - Country:US
Mailing Address - Phone:850-461-0288
Mailing Address - Fax:
Practice Address - Street 1:1175 STILLWOOD CT
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-3600
Practice Address - Country:US
Practice Address - Phone:850-461-0288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor