Provider Demographics
NPI:1881863751
Name:ZABAWA CHIROPRACTIC PA
Entity Type:Organization
Organization Name:ZABAWA CHIROPRACTIC PA
Other - Org Name:ATLAS CHIROPRACTIC OF SARASOTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING REPRESENTATIVE
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HILDERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-232-0470
Mailing Address - Street 1:2831 RINGLING BLVD
Mailing Address - Street 2:A102
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-5334
Mailing Address - Country:US
Mailing Address - Phone:941-955-4711
Mailing Address - Fax:941-955-9986
Practice Address - Street 1:2831 RINGLING BLVD
Practice Address - Street 2:A102
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5334
Practice Address - Country:US
Practice Address - Phone:941-955-4711
Practice Address - Fax:941-955-9986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9408111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty