MEDICARE: TZARINA 1 INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CH8382	OTHER	FL	LICENSE

General Provider Information

NPI Number	:	1881369775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TZARINA 1 INC

Provider Business Mailing Address
First Line	:	3042 N FEDERAL HWY STE 303
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33306-1400
Country	:	US
Telephone Number	:	954-817-9671
Fax Number	:

Provider Business Practice Location Address
First Line	:	3042 N FEDERAL HWY STE 303
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33306-1400
Country	:	US
Telephone Number	:	954-817-9671
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KATHERINE A ROMANOFF
Credential	:	DC
Telephone Number	:	954-817-9671

Provider Enumeration Date	:	08/12/2021
Last Update Date	:	08/12/2021

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Directions to “TZARINA 1 INC ” Practice Location

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