Provider Demographics
NPI:1932637626
Name:ZAMORA-ROMAN, ANGEL JOSE (DC)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:JOSE
Last Name:ZAMORA-ROMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-3100
Mailing Address - Country:US
Mailing Address - Phone:954-584-9343
Mailing Address - Fax:
Practice Address - Street 1:199 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-3100
Practice Address - Country:US
Practice Address - Phone:954-584-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12208111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor