Healthcare Provider Details

I. General information

NPI: 1629775721
Provider Name (Legal Business Name): HUMAN CONDITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2023
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 SE CENTRAL PKWY
STUART FL
34994-3970
US

IV. Provider business mailing address

3940 INVERRARY BLVD APT 805
LAUDERHILL FL
33319-4354
US

V. Phone/Fax

Practice location:
  • Phone: 772-223-9597
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. KIANOOSH ZIAYAN
Title or Position: CEO
Credential: DC
Phone: 774-345-0116