Provider Demographics
NPI:1952636771
Name:ZECCARDI, ADAM (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:ZECCARDI
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 1:7855 ARGYLE FOREST BLVD.
Mailing Address - Street 2:STE 905
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-7707
Mailing Address - Country:US
Mailing Address - Phone:904-541-6144
Mailing Address - Fax:904-541-6154
Practice Address - Street 1:7855 ARGYLE FOREST BLVD
Practice Address - Street 2:STE 905
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-7707
Practice Address - Country:US
Practice Address - Phone:904-541-6144
Practice Address - Fax:904-541-6154
Is Sole Proprietor?:No
Enumeration Date:2009-10-13
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9832111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor