MEDICARE: DR. GERLANDO ZAMBUTO 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	CH8668	FL

General Provider Information

NPI Number	:	1750599601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERLANDO ZAMBUTO D.C.

Provider Business Mailing Address
First Line	:	21911 PINE BARK WAY
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-3035
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2040 NE 49TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4524
Country	:	US
Telephone Number	:	954-493-8875
Fax Number	:

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	04/14/2011

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