Healthcare Provider Details

I. General information

NPI: 1114730694
Provider Name (Legal Business Name): ALEXANDRA L ZAGORSKI DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1707 W REYNOLDS ST STE 102
PLANT CITY FL
33563-4737
US

IV. Provider business mailing address

15435 TRINITY FALL WAY
BRADENTON FL
34212-3921
US

V. Phone/Fax

Practice location:
  • Phone: 813-848-0022
  • Fax:
Mailing address:
  • Phone: 941-840-3479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15358
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: