MEDICARE: DR. ERIN MICHELLE ZOVATH 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	CH10648	FL
2	111N00000X	Chiropractor	CH 10648	FL

General Provider Information

NPI Number	:	1407196744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN MICHELLE ZOVATH D.C.

Provider Business Mailing Address
First Line	:	8110 BLANDING BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-5823
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8110 BLANDING BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-5823
Country	:	US
Telephone Number	:	904-379-4621
Fax Number	:

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

Provider Enumeration Date	:	02/24/2013
Last Update Date	:	07/19/2022

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