MEDICARE: DEAN M ZUSMER 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	CH9046	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	64017	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1881770485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN M ZUSMER D.C.

Provider Business Mailing Address
First Line	:	16900 N BAY RD
Second Line	:	APARTMENT 1510
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-4252
Country	:	US
Telephone Number	:	305-944-3724
Fax Number	:

Provider Business Practice Location Address
First Line	:	16900 N BAY RD
Second Line	:	APARTMENT 1510
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-4252
Country	:	US
Telephone Number	:	305-944-3724
Fax Number	:

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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Directions to “ DEAN M ZUSMER D.C.” Practice Location

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