Healthcare Provider Details

I. General information

NPI: 1033226295
Provider Name (Legal Business Name): ADAM DAVID ZUCKERMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4895 WINDWARD PASSAGE DR SUITE 9
BOYNTON BEACH FL
33436-7741
US

IV. Provider business mailing address

4895 WINDWARD PASSAGE DR SUITE 9
BOYNTON BEACH FL
33436-7741
US

V. Phone/Fax

Practice location:
  • Phone: 561-752-4646
  • Fax: 561-737-7664
Mailing address:
  • Phone: 561-752-4646
  • Fax: 561-737-7664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8746
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: