MEDICARE: DR. JAMES S ZUCCARO 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
1	111N00000X	Chiropractor	CH12443N	FL

General Provider Information

NPI Number	:	1407045685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES S ZUCCARO DC

Provider Business Mailing Address
First Line	:	5860 RED BUG LAKE RD
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5011
Country	:	US
Telephone Number	:	407-790-4745
Fax Number	:	321-203-2523

Provider Business Practice Location Address
First Line	:	5860 RED BUG LAKE RD
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5011
Country	:	US
Telephone Number	:	407-790-4745
Fax Number	:	321-203-2523

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

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	11/14/2019

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