Healthcare Provider Details

I. General information

NPI: 1902890304
Provider Name (Legal Business Name): ZALUSKI CHIROPRACTIC & BOND FAMILY MEDICINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3936 N DAVIS HWY SUITE B
PENSACOLA FL
32503-2746
US

IV. Provider business mailing address

PO BOX 9449 3936 N DAVIS HWY SUITE B
PENSACOLA FL
32513-9449
US

V. Phone/Fax

Practice location:
  • Phone: 850-438-7518
  • Fax:
Mailing address:
  • Phone: 850-438-7518
  • Fax: 850-432-9685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: JOHN C ZALUSKI
Title or Position: PRESIDENT
Credential: DC
Phone: 850-438-7518