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NPI Code Detail

MEDICARE: ZACHARY TYLER JOHNSON DC

MEDICARE: ZACHARY TYLER JOHNSON DC
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
1111N00000XChiropractorCH14375FL

General Provider Information

NPI Number : 1164128898
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY TYLER JOHNSON DC
Provider Business Mailing Address
First Line : 3715 W AZEELE ST
Second Line :
City : TAMPA
State : FL
Zip : 33609-2807
Country : US
Telephone Number : 813-253-0711
Fax Number :
Provider Business Practice Location Address
First Line : 3715 W AZEELE ST
Second Line :
City : TAMPA
State : FL
Zip : 33609-2807
Country : US
Telephone Number : 813-253-0711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2023
Last Update Date : 02/03/2023

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Directions to “ ZACHARY TYLER JOHNSON DC” Practice Location

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