Provider Demographics
NPI:1598956575
Name:CORAL GABLES CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:CORAL GABLES CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN/MGRM
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZUSMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-389-9040
Mailing Address - Street 1:315 PALERMO AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6607
Mailing Address - Country:US
Mailing Address - Phone:305-389-9040
Mailing Address - Fax:305-949-6740
Practice Address - Street 1:315 PALERMO AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6607
Practice Address - Country:US
Practice Address - Phone:305-389-9040
Practice Address - Fax:305-949-6740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty