Provider Demographics
NPI:1467676635
Name:ADAM D. ZUCKERMAN, D.C., P.A
Entity Type:Organization
Organization Name:ADAM D. ZUCKERMAN, D.C., P.A
Other - Org Name:ZUCKERMAN FAMILY WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ZUCKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-752-4646
Mailing Address - Street 1:4895 WINDWARD PASSAGE DR
Mailing Address - Street 2:SUITE 9
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-7741
Mailing Address - Country:US
Mailing Address - Phone:561-752-4646
Mailing Address - Fax:561-737-7664
Practice Address - Street 1:4895 WINDWARD PASSAGE DR
Practice Address - Street 2:SUITE 9
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-7741
Practice Address - Country:US
Practice Address - Phone:561-752-4646
Practice Address - Fax:561-737-7664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8746111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5635Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER