MEDICARE: DR. ALLEN THOMAS ZAK D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH5698	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	350013655	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013981125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLEN THOMAS ZAK D.C.

Provider Business Mailing Address
First Line	:	1601 RICKENBACKER DR
Second Line	:	SUITE #2
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5332
Country	:	US
Telephone Number	:	813-634-8980
Fax Number	:	813-634-2593

Provider Business Practice Location Address
First Line	:	1601 RICKENBACKER DR
Second Line	:	SUITE #2
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5332
Country	:	US
Telephone Number	:	813-634-8980
Fax Number	:	813-634-2593

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	02/23/2012

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Directions to “ DR. ALLEN THOMAS ZAK D.C.” Practice Location

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