Healthcare Provider Details

I. General information

NPI: 1457563751
Provider Name (Legal Business Name): JAMES S. ZUK D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3512 DEL PRADO BLVD S #112
CAPE CORAL FL
33904-7258
US

IV. Provider business mailing address

3512 DEL PRADO BLVD S #112
CAPE CORAL FL
33904-7258
US

V. Phone/Fax

Practice location:
  • Phone: 239-540-7100
  • Fax:
Mailing address:
  • Phone: 239-540-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberCH6706
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: