MEDICARE: DR. ADAM ZECCARDI DC

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	CH9832	FL

General Provider Information

NPI Number	:	1952636771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM ZECCARDI DC

Provider Business Mailing Address
First Line	:	7855 ARGYLE FOREST BLVD.
Second Line	:	STE 905
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-7707
Country	:	US
Telephone Number	:	904-541-6144
Fax Number	:	904-541-6154

Provider Business Practice Location Address
First Line	:	7855 ARGYLE FOREST BLVD
Second Line	:	STE 905
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-7707
Country	:	US
Telephone Number	:	904-541-6144
Fax Number	:	904-541-6154

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

Provider Enumeration Date	:	10/13/2009
Last Update Date	:	07/01/2015

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