Provider Demographics
NPI:1760692073
Name:ZADANOFF, SHARON ZIVA II (DC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ZIVA
Last Name:ZADANOFF
Suffix:II
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:SHARON
Other - Middle Name:ZIVA
Other - Last Name:ZADANOFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:19021 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2819
Mailing Address - Country:US
Mailing Address - Phone:305-931-0797
Mailing Address - Fax:305-931-4007
Practice Address - Street 1:19021 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2819
Practice Address - Country:US
Practice Address - Phone:305-931-0797
Practice Address - Fax:305-931-4007
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5443111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22224Medicare ID - Type Unspecified
FLT54843Medicare UPIN