MEDICARE: DR. GREGORY STEFEN ZWIRN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH 8294	FL

General Provider Information

NPI Number	:	1568547362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY STEFEN ZWIRN D.C.

Provider Business Mailing Address
First Line	:	4015 N ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1001
Country	:	US
Telephone Number	:	813-873-2003
Fax Number	:	813-873-2042

Provider Business Practice Location Address
First Line	:	4015 N ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1001
Country	:	US
Telephone Number	:	813-873-2003
Fax Number	:	813-873-2042

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/08/2007

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