MEDICARE: KAIZEN CHIROPRACTIC SOLUTIONS

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	CH9713	FL

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	:	1780047217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAIZEN CHIROPRACTIC SOLUTIONS

Provider Business Mailing Address
First Line	:	3097 CURRY FORD RD STE B
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-3303
Country	:	US
Telephone Number	:	407-631-5800
Fax Number	:	407-668-4547

Provider Business Practice Location Address
First Line	:	3097 CURRY FORD RD STE B
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-3303
Country	:	US
Telephone Number	:	407-631-5800
Fax Number	:	407-668-4547

Authorized Official
Title or Position	:	OWNER
Name	:	YARAN DIAZ
Credential	:	D.C.
Telephone Number	:	407-631-5800

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	11/29/2023

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Directions to “KAIZEN CHIROPRACTIC SOLUTIONS ” Practice Location

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