Healthcare Provider Details

I. General information

NPI: 1306383757
Provider Name (Legal Business Name): ZANFINI CHIROPRACTIC DC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2017
Last Update Date: 01/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 SE DIXIE HWY STE 2
STUART FL
34994-3054
US

IV. Provider business mailing address

500 SE DIXIE HWY STE 2
STUART FL
34994-3054
US

V. Phone/Fax

Practice location:
  • Phone: 772-223-9777
  • Fax: 772-220-9779
Mailing address:
  • Phone: 772-223-9777
  • Fax: 772-220-9779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH11656
License Number StateFL

VIII. Authorized Official

Name: DR. STEVEN M. ZANFINI
Title or Position: PRESIDENT
Credential: DC
Phone: 772-223-9777