Healthcare Provider Details

I. General information

NPI: 1407045685
Provider Name (Legal Business Name): JAMES S ZUCCARO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 11/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5860 RED BUG LAKE RD
WINTER SPRINGS FL
32708-5011
US

IV. Provider business mailing address

5860 RED BUG LAKE RD
WINTER SPRINGS FL
32708-5011
US

V. Phone/Fax

Practice location:
  • Phone: 407-790-4745
  • Fax: 321-203-2523
Mailing address:
  • Phone: 407-790-4745
  • Fax: 321-203-2523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH12443N
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: