Provider Demographics
NPI:1558390237
Name:NATURAL HEALING ARTS MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:NATURAL HEALING ARTS MEDICAL CENTER, INC.
Other - Org Name:ZAMIKOFF CHIROPRACTIC LIFE
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINIC OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:ZAMIKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-761-4994
Mailing Address - Street 1:2215 59TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-7017
Mailing Address - Country:US
Mailing Address - Phone:941-761-4994
Mailing Address - Fax:941-761-7224
Practice Address - Street 1:2215 59TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-7017
Practice Address - Country:US
Practice Address - Phone:941-761-4994
Practice Address - Fax:941-761-7224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL24186OtherBLUE CROSS BLUE SHIELD
FL24186OtherBLUE CROSS BLUE SHIELD
FLK9591AMedicare PIN
FLK9591Medicare PIN